Lyric discussion by osubuckeye4 

Cover art for Pale Horse lyrics by Smashing Pumpkins, The

Agree with the take on Thorazine and I think that we're out of the "concept" portion fo the album.

Thorazine is Chlorpromazine ( it is marketed in the U.S. as Thorazine) and is used to treat schizophrenia.

In old horror movies that featured asylums you'd always have a character that just shuffled around everywhere, but went nowhere... that can be a side effect of Thorazine.

As far as the title...

Pale Horse was the horse that was ridden by Death in Revolations.

Well, in the bible, "pale horse" literally represented the apocalypse or 'the end of the world'. Much to my understanding anyways.. So im guessing "Please come back, pale horse" would mean that the persona wanted the 'end' to come. Meaning he/she wanted to die. Very much anticipated when a person is being fed with drugs that can make you sicker than you ever was!