Lyric discussion by Mopnugget 

"my twitching muscles tease my flippin' thoughts"

and

"we'll lay in bags as dead as leaves"

Did it all get real? I guess it's real enough - Song starts as a conversation with a close friend or possibly he is subconciously talking to himself, Did it all get real? - referencing when something hits home and makes a subject more real to you, the subject for this conversation being life/death/existance. I guess it's real enough - real enough speaks to the nature of existance being relative, or possibly the sureal feeling you get when you hear about someone close dying for the first time, or both.

day to day life, routine, social norms and expectations.... there's to be more no?

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