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This song appeared as the final track on the non-deluxe edition of A7X’s fifth studio album, Nightmare. On December 28th, 2009, Jimmy "The Rev" Sullivan (Avenged Sevenfold’s drummer) was found dead. This song, which appeared half a year later, recounts the pain and grief that the band members felt after his loss. At 10:56, “Save Me” was the longest A7X song ever recorded until the release of Exist in their 2016 album The Stage, which clocks in at 15:39.