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In the May 2006 issue interview with Revolver about the album re-issue, guitarist Mark Morton and vocalist Randy Blythe talked about the meanings of the song on the album and information about them. " 'Pariah' was written about a certain individual who used to live in my beloved city, the former capital of the Confederacy, who I did not get along with too well. He was a fucking heroin junkie and was just an awful person. I had a couple of unpleasant run-ins with him and he was just a real shitbag, basically.