The album earned Germano the most praise she'd yet received from the press, becoming a critical favorite – including being featured as the 84th best album of the 1990s by the music magazine Spin.
Most tracks on Geek the Girl were originally recorded at Lisa Germano's home, giving the album an intimate and demo-like feel. Initially, she played all of the instruments on the record, but she then chose to re-mix four of the tracks with the help of Malcolm Burn, and added Kenny Aronoff on drums.
All of the songs on the album are written by Germano, except for 'Just Geek' and 'Sexy Little Princess', which were co-authored by Malcolm Burn, and 'Cry Wolf', which she wrote with Jay Joyce. The album was produced by Germano and Malcolm Burn. It was mixed by Burn at Echo Park Studio in Bloomington, IN, and Kenny Aronoff's drum performances were also recorded there. The album was mastered at Masterdisk. Assistant engineers were Mark Hood, Pat Keating and Ron Black.
Throughout the album, Germano uses a Sicilian folk tune called 'Frascilita' as an interlude between songs, as well as for the introduction to the album, on the first track 'My Secret Reason'. She introduced this piece to add some levity to the album, as she thought it "really needed some comic relief." The album deals with some dark subjects, including stalking (in the much-discussed track 'A Psychopath'), media censorship and inherent evil ('My Secret Reason'), and rape ('Cry Wolf').