Relent to the feeling you try to resist; now it has all come to this

Medicine cabinets are your treasure troves now the hunt is on

After the high a crushing low you scrape away the release because it's slow

Driven to the mill to block the ills, pillbilly you are never alone

You were the light of your family

A beacon of hope snuffed out before you

Everything changes nothing here stays the same

These West Virginia hills will sedate you

You rise again to fall again, I cannot believe you would murder for medicine

Claw the guilt away as the crank bugs they burrow below

You wake to the misery of your life compounded from dependency

Coal mine scrip, suboxone strips, our pride is swallowed away

You were the light of your family

A beacon of hope snuffed out before you

Everything changes nothing here stays the same

These West Virginia hills will sedate you

One man's cure is another man's malady

A door unlocked I'm standing above you

Nothing is sacred everything's here to take

These West Virginia pills will sedate you

Oh, what a rush