Lyric discussion by Akasha 

Cover art for Coma Black lyrics by Marilyn Manson

I'd had the impression that Coma Black was also about the end of his five year (?) relationship with his girlfriend, whom he'd labeled the source of a lot of inspiration for him (she also got him a lot of mainstream attention, given her wholesome image). The cries of, "you took the angel away" seem to be lamenting her loss.