Lyric discussion by hundredskies 

Cover art for Queen of Hearts lyrics by Birthday Massacre, The

Sounds to me like a guy who had a crush on a girl most of his life, and one day decides that he would rather have her for one night and kill her than never have her at all.

“He puts the gun to her head She tells him everything”

When she’s at gunpoint, she doesn’t hesitate to tell him whatever he wants to hear, like “I love you.”

“He sews the crack in his heart Before he tears her apart In the basement underneath”

He still loves and cares about her, but he knows he can never let her go after all he’s done now–she would never speak to him again. So he clears his mind and heart and kills her even though he doesn’t want to hurt her.

“He burns her high school pictures And buries old dreams He reads her diary once more”

He gets rid of everything that makes her real to him, photos of her and any dreams of a family with her he once had. He has to forget about her completely or she will haunt him forever.

“He cleans the tears from her eyes He still can’t stand to see her cry”

He still loves her and it is hard for him to do what he is doing, but he must.

My Interpretation