Miley Cyrus first teased the music video for "Nothing Breaks Like a Heart" on Twitter and Instagram on 26 November 2018. The video was filmed in October 2018 in Kyiv, Ukraine, with scenes taking place on the New Darnytskyi Bridge. It premiered on 29 November 2018. The video begins with a news report of Miley Cyrus driving to an unknown destination, and being followed by law enforcement officers on the New Darnytskyi Bridge. Throughout the video, a television news report titled "Miley's Wild Ride" can be seen.