Matt Shadows their lead singer says the song was written as per request from the developers of Call of Duty: Black Ops 4. Watching the initial trailers for the game & looking at production sketches reminded him of the 'S-Town' podcast & its main protagonist, John B. McLemore. Matt also comments specifically on the lyrics: "I decided that the lyrics would shadow McLemore's life." In 2012, antiquarian horologist John B. McLemore sent an email to the staff of the show 'This American Life' asking them to investigate an alleged murder in his hometown of Woodstock, Alabama, a place McLemore claimed to despise. After a year of exchanging emails & several months of conversation with McLemore, producer Brian Reed traveled to Woodstock to investigate. Reed investigated the crime & eventually found that no such murder took place, though he struck up a friendship with the depressed but colorful character of McLemore. He recorded conversations with McLemore & other people in Woodstock. McLemore killed himself by drinking potassium cyanide on June 22, 2015 while the podcast was still in production. In the narrative of the podcast, this occurs at the end of the second episode; subsequent episodes deal with the fallout from McLemore's death while exploring more of McLemore's life & character.
[ SPOKEN ] Nikki: "I've had enough and I WANT OUT!"
Dr. X: "You can't walk away now." (Sinister Chuckle)
I looked back once
And all I saw was his face
Smiling, the needle crying
Walking out of his room
With mirrors, afraid I heard him scream
You'll never get away
Cold and shaking
I crawled down alleys to try
And scrape away the tracks that marked me
Slammed my face into walls of concrete
I stared, amazed at the words written on the wall
Don't ever trust
Don't ever trust the needle, it lies
Don't ever trust
Don't ever trust the needle when it cries...
Cries your name
Wet and raving
The needle keeps calling me back
To bloody my hands forever
Carved my cure with the blade
That left me in scars
Now every time I'm weak
Words scream from my arm
Don't ever trust
Don't ever trust the needle, it lies
Don't ever trust
Don't ever trust the needle when it cries...
Cries your name
Don't ever trust
Don't ever trust the needle, it lies
Don't ever trust
Don't ever trust the needle when it cries...
Cries your name
Dr. X: "You can't walk away now." (Sinister Chuckle)
I looked back once
And all I saw was his face
Smiling, the needle crying
Walking out of his room
With mirrors, afraid I heard him scream
You'll never get away
Cold and shaking
I crawled down alleys to try
And scrape away the tracks that marked me
Slammed my face into walls of concrete
I stared, amazed at the words written on the wall
Don't ever trust
Don't ever trust the needle, it lies
Don't ever trust
Don't ever trust the needle when it cries...
Cries your name
Wet and raving
The needle keeps calling me back
To bloody my hands forever
Carved my cure with the blade
That left me in scars
Now every time I'm weak
Words scream from my arm
Don't ever trust
Don't ever trust the needle, it lies
Don't ever trust
Don't ever trust the needle when it cries...
Cries your name
Don't ever trust
Don't ever trust the needle, it lies
Don't ever trust
Don't ever trust the needle when it cries...
Cries your name
Lyrics submitted by Ice, edited by digitalmanMKII
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-Operation: Mindcrime, near the beginning
"Had a habit doing mainline,
Watch the dragon burn"
(In the off-chance you're not good with Drug slang: Mainlining indicates injection, Heroin is referenced with Dragon imagery, in particular "Chasing The Dragon.")
The needle reference in this is literal as well as possibly metaphorical. Dr. X used Nikki's Heroin addiction as leverage to keep him under control as his assassin in the storyline.