Lyric discussion by BirthdayBoy9 

The first verse is sung by a member of The Residents. The person (character) talking about Mickey Macaroni knows what Mickey eats. There has to be a way that the narrator knows this. These are my theories:

  1. Mickey Macaroni is a celebrity and told people what he eats in an interview.
  2. The narrator knows Mickey Macaroni personally.

“Mickey Macaroni hardly ever eats meat Mickey Macaroni doesn't even eat sweets Mickey Macaroni never, never eats beets Mickey Macaroni knows what he wants to eat”

I think these lyrics indicate that Mickey is the type of person who wants to make his own decisions and doesn't like eating the food that other people want him to eat.

The next two verses are sung by a child.

“My hospital room is Smelling bad but soon he's” “Gonna take me home and Play his saxophone and”

The girl in the hospital is waiting for Mickey Macaroni to take her home. I am assuming that the girl singing this line lives with Mickey Macaroni now. This is because her father beat her. Mickey Macaroni is letting her stay at his home with her. He plays his saxophone to make her happy.

“Tell me if they broke up When his girlfriend woke up Screaming how she hated Every guy she dated”

I am guessing Mickey Macaroni is a friend or knows the girl’s father. Assuming the girls’ parents are divorced and her Dad has a new girlfriend. The girl wants to know if her father’s current girlfriend broke up with him because he is abusive.

“I knew that he had slipped the Minute daddy hit me Now I'm sad and lonely And want my macaroni”

The girl in the hospital is sad because of the events going on in her life with her abusive father. She desperately wants to see Mickey Macaroni because he is the like father figure that she always wanted. ‘

Overall Mickey Macaroni seems like a nice guy who knows what he wants to eat and loves to play his saxophone to cheer people up.

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