Lyric discussion by fiction11 

Cover art for Pins And Needles lyrics by Birthday Massacre, The

this song is about a lost relationship.

Once a night my bedroom light Sneaks out from inside my window

-awoken in the night by a nightmare

Eyes white, I keep out of sight This city's just not pretty like it used to be

-withdrawn, the city's lost is beauty now that she's alone

It's always a nightmare, it's never a dream The promise we (MADE!) to kill the days between

-whoever submitted lyrics made a HUGE mistake, this practically defines the meaning. regret is her nightmare, the memory of lost promises to be together forever

They live in the heartbeat and sleep til the light is gone

-the past haunts her dreams

It's been so long Feels like pins and needles in my heart So long I can feel it tearing me apart

-"pins and needles", the sign of a waking limb. her heart has been without feeling and the only thing that makes it feel anymore is the pain of the lost love.

To the bed the left unsaid Crawl in from outside my window

-great metaphor for her always thinking of what was left unsaid

Hands red and cold as the dead A pity they're not pretty like they used to be

-she is aging, the relationship was quite a ways in the past

so there you have it. it's not even that complex, how could you think it was about a serial killer...