Sarah by America is a poignant exploration of love, loss, and longing. The song reflects on the deep feelings of heartbreak and melancholy following the end of a relationship. Key themes include nostalgia for the past, the pain of separation, and the lingering hope for reconciliation. Poignant moments in the song are underscored by its reflective lyrics and haunting melody, which capture the essence of emotional distress and the yearning for a lost connection.