Other than the voices part, to me this song is basically the personal theme song of anyone with Antisocial Personality Disorder, which in most extreme cases refers to Sociopaths and Psychopaths
It talks about not feeling remorse, doing evil things without anyone being able to stop them, being disturbed, nature vs nurture (a common question regarding sociopaths/psychopaths), being born evil, no conscience, not wanting to be a part of the world around them, and not feeling pain or backing down to things.
The pain in this case would be emotional pain, I'm sure most people with ASPD can feel physical pain.
The only thing inconsistent with the ASPD theme is the voices, since in order to have that disorder you cannot have any psychotic symptoms, including hearing voices.
In which case the song could just be about being crazy and evil, but I will always prefer my interpretation of it.
Sources:
Psychology Classes
Personal Experience with ASPD
MyMeaningson February 16, 2013 Link
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