Lyric discussion by Relleg90 

Cover art for Reject Yourself lyrics by Killswitch Engage

Just because someone has materially nothing doesn't mean they are suffering. KSE has a very spiritual tone to all their songs. This song is singing about the people who are lost in lies. The people who are without love the people who still have hate in their hearts. "Can you feel their agony" is not so much a question but is saying you should be able to feel their agony. Heal those in need.