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"Song to Say Goodbye" is the second single from Placebo's sixth studio album Meds. It was produced by Dimitri Tikovoi. As "Because I Want You" was only released in the United Kingdom, "Song to Say Goodbye" is considered the first single from Meds. The song develops around some piano notes that repeat throughout it. It is quite sentimental due to the power of its lyrics. It is a song that refers to drug addiction, specifically heroin. It contains a phrase of Neil Young's: "The needle and the damage done".