Lyric discussion by TheSoupNazii 

Cover art for Birthday lyrics by Kings of Leon

I dont think its about a girl that he is with or that he is spending the night with. I think he is talking about cocaine; How it comes on to him i.e. "It's in the way she often calls me out. It's in the cut of your pretty gown, Your come-on legs and your pantyhose. You look so precious with your bloody nose" Also how he feels while on coke, and not caring what happens when he is on coke even if it means death, i.e. "I don't care where you're going, I'm coming along with you" & "Chasing your death without a care."

Song Meaning

Finally! Someone of sheer understanding and intelligance agrees with me :) ,haaa I think the same too,I know that Caleb has a past of cocaine,so I'm not really surprised and it just connects so wonderfully. Thanks!

@TheSoupNazii I can see the line of thought, just think it is a bit of a jump needed ... but each to their own interpretation I suppose. It will mean different things to different people.

My Opinion