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Opeth – The Leper Affinity Lyrics 10 years ago
@[thechopeur:3786] Great analysis, but now I made an account just to reply to this! HAHAH

For me it seems obvious that actually the woman got pregnant!

"You sighted and let me in
Keep the beast inside
Shackled within my hide
Screaming out too late
Losing to my hate
Grew together with your skin
And paced the trails of sin"

Keep the beast inside, shackled (tied, bonded to) within my hide (do you realize what is this that he's calling his 'hide'?)
Grew together with your skin and paced the trails of sin. - This actually confirms the following idea: the woman is now pregnant, and since it was a relationship of no love, just abuse, this fetus is doomed to follow the sinful path. In the end it becomes clear this idea.

"Deafening shrieks pierced the night" is the time when the baby is being born.

From now on, the song is focused on the baby, who 'paced the trails of sin':
"A step from oblivion
Moving into the dim lights
Hiding within a reverie
It was worth it for the wait alone"
This is the time when he's born, moving into the dim lights... and since he comes into this terrible environment, he says it was worth it for the wait alone.

Afterwards the song repeats itself for the only time, just to make this idea even more clear. Now, the newborn is the new sinner.

* This information can be up to 15 minutes delayed.