Lyric discussion by nekirhs 

Strung out and thin Calling some friend Trying to cash some check

daily life (maybe trying to point out how dull it is)?

He's acting dumb That's what you've come To expect

criticizing himself

He's wearing your clothes Head down to toes A reaction to you

he doesn't recognize the person in the mirror anymore? he's lost his personality.

Sometimes they just Get caught in the eye You're pulling him through

like a thread on a needle, it follows right behind it (conforming). his addiction (whatever it is) is the needle, his personality is the thread being made to conform.

Now on the bus Nearly touching This dirty retreat

showing his disgust for society (or himself)? the bus transports us to our next destination. go to work, go to school, go home.

Going to walk, walk, walk Four more blocks Plus the one in my brain

he's forcing himself to go somewhere he doesn't want to go. walking the block in his brain is a metaphor to trying to reason with himself?

Down downstairs To the man He's going to make it all ok

first thing I thought of was "satan." in this case, it could be his own "satan."

I can't beat myself I can't beat myself And I don't want to talk

he's only capable of so much. he can only do what he can do, and nothing else. and it disgusts him (and I don't want to talk).

I'm taking the cure So I can be quiet Whenever I want

the cure being a reference to probably drugs? it's his escaping from the life he hates (so I can be quiet whenever I want).

So leave me alone You ought to be proud That I'm getting good marks

I still think he's talking to himself here. "good marks" would be a reference to... well... doing well in work, at school, etc... in this way, he is justifying his self destruction (to himself) by saying "atleast I'm doing something good even if I'm not happy."

Needle in the hay

this could be a reference to many things. personally I think it's a reference to how he can't recognize himself anymore. like he said before, he looks like a stranger to himself (from what I interpreted). so he is the needle, and society is the haystack.

@nekirhs “That I'm getting good marks” this line and the way that it’s sung, to me, makes’ the song explicitly about IV drug use....heroin probably. Implicitly it is about a variety of things though.

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