This song is about Rufus' mother, Kate McGarrigle, a talented singer-songwriter who died of cancer in 2010 at 63. According to Wainwright, they commonly wrote songs about each other, and "Beauty Mark" was in response to McGarrigle's "First Born," a song she wrote about Rufus that appeared on her 1977 album Dancer With Bruised Knees, a collaboration with her sister, Anna McGarrigle. Some lines that refer to her: "I never had your black hair, and hazel eyes

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