In 1988 Minnelli had expressed an interest in doing a pop album, completely in contrast with her normal output when she joined Epic Records. Tom Watkins, the manager of the Pet Shop Boys was in the US offices at Epic around this time, promoting his new band Bros. He heard that Minnelli had just been signed by Epic and suggested that Neil Tennant and Chris Lowe of The Pet Shop Boys could work with her on the album. As it happened, Minnelli had heard their song "Rent" and loved it and was thrilled to hear that they may be interested to work with her. Tennant was already a fan of Minnelli and set about writing some songs specifically for her. In March 1989, Minnelli was on tour in London and recorded the vocals for the album during the day. She was surprised on arriving at the studios to learn that the musical backing had already been recorded, a process she was unfamiliar with. She found working with the duo to be great fun but also challenging, saying that Tennant did not compromise and would push her vocally to ranges lower than she was used to. She was keen to record a cover of "Rent" and also expressed particular satisfaction with the song "So Sorry, I Said", saying that the lyrics were very true to her. In general, she was impressed with the duo's work lyrically, and was very pleased with the finished album. Of the songs contained, "Losing My Mind" is from the 1971 musical Follies. "Twist in My Sobriety" was originally recorded by Tanita Tikaram, from the 1988 album Ancient Heart. "Love Pains" was originally recorded by Yvonne Elliman, from the 1979 album Yvonne. "Rent" and "Tonight Is Forever" were both originally recorded by Pet Shop Boys from, respectively, the albums Actually and Please. The Pet Shop Boys demo version of "Losing My Mind" was later 'tidied up' and released as a B-side on the Pet Shop Boys single "Jealousy". The bridge to "If There Was Love" features Minnelli reciting Sonnet 94 by William Shakespeare: "They that have power to hurt". The album title was chosen, at Minnelli's request, by Pet Shop Boys after they heard an offhand comment by their friend Janet Street-Porter regarding some of her clothes. The first single released was a decidedly electronic working of the Stephen Sondheim song "Losing My Mind" in August 1989. Minnelli promoted the song on various television shows in Europe and the US. It became a big hit in the UK, peaking at No.6, where she appeared on Top of the Pops that month. The album was released a month later where it also reached No.6 in the UK. Results also reached number 13 in Spain and was certified Gold there. The album was less successful in the United States, peaking only at number 128 on the Billboard 200. Three more singles were released from the album during 1989 and 1990, namely "Don't Drop Bombs", "So Sorry, I Said" and "Love Pains".
