Bitch I'm back out my coma
Kanye makes the first line he performs direct and abrasive, proving that he isn’t going to care about holding anything in. The “coma” Kanye is talking about is the blackout he experienced the night before after drinking too much. The rest of the verse is Kanye trying to put the pieces back together with whatever evidence is left; the state of her sofa, her shrieks, and the remnants of the scattered negative thoughts which helped fuel his drinking in the first place (i.e. bitterness toward her family members for pointing out his flaws).
It looks like Kanye chose not to “hold his liquor”, but the cocky way he says this line makes it clear he doesn’t really care.
The screeching noise at the end of every line in this verse is supposed to mimic a scream of terror from this girl Kanye is addressing. As Kanye gets more and more self-destructive, she realizes her worst fear has come true; the volatile and less desirable side of Kanye has beaten out his sensitive side.
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