The self righteous drug dealer dichotomy
I'm drawing from both sides, I am Siamese

from Pusha T – Alone in Vegas Lyrics on Rap Genius

Meaning

Pusha says this because he wants to rap about more positive things, but at the same time is rooted in the coke talk. Being self righteous and a drug dealer is mutually exclusive. Since he doesn’t rap about one or the other, but he rather raps about both, he is on both sides of the relationship. Thus, his raps are Siamese.

To help improve the meaning of these lyrics, visit “Alone in Vegas” by Pusha T Lyrics and leave a comment on the lyrics box