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"Downhill Lullaby" is a song about the painful effects of a broken relationship. The speaker is in a bad situation, being hit and hurt by someone, unable to find anyone to help them. Despite this, they see the other person wants them to stay, and they move into an emotionally vulnerable position, willing to accept the other person's abuse. The chorus repeats a phrase of going downhill into a lullaby, signifying the speaker's descent into a life of grief, pain and manipulation.