About this song
As Sick As The Secrets Within
By Marilyn Manson
Updated
What “As Sick As The Secrets Within” means
The song presents a dark struggle with inner corruption, addiction, and secrecy. Its central idea is that damage comes less from outside forces than from what is hidden inside a person: repressed guilt, shame, appetite, or compulsion. The speaker moves from ritual language and physical decay into a more psychological confession, suggesting a descent from controlled self-image into something more feral and consuming. Interpreted this way, the repeated claim that one is only as sick as the secrets within links the song’s religious, bodily, and predatory images into one idea: what is buried internally eventually takes control. Emotionally, the song shifts from cold detachment to helpless entrapment and then to something hauntingly possessive. Images of communion, blood, worms, bones, cages, skin, and a beast create a sense of body horror and spiritual contamination, while the recurring desire to get out of one’s skin suggests wanting escape from identity itself. The lines about needing to get high and ending up in a life that is no life at all point to self-destructive coping turning into emptiness. The closing insistence on being kept asleep and dreaming of the speaker feels like a threat and a seduction at once, reinforcing the idea of an inner force that invades the mind. This is best read as an interpretation of the lyric’s symbolism rather than a documented statement of artist intent.
About Marilyn Manson
Marilyn Manson is an American rock singer and songwriter known for industrial metal and shock rock. For this song, he was in a late-career comeback phase after a four-year gap in new music, working with longtime collaborator Tyler Bates and newly signed to Nuclear Blast.
It first appeared as a single before being placed on One Assassination Under God - Chapter 1, released in 2024. On that album, it is the fourth track, so it functions as a central song in the project rather than a separate one-off release. The song was later reused in the album rollout, which is why the YouTube music video should not be treated as the original release. Nuclear Blast said the single marked Manson’s first new music in four years and that it was recorded and co-produced with Tyler Bates, with a music video directed by Bill Yukich. Its release on August 2, 2024 also aligned with the start of his North American tour, making the song part of a public comeback campaign after a long break.
Play the song above for the full karaoke-synced lyrics with line-by-line translation.
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