Bitch I'm back out my coma

from Kanye West (Ft. Chief Keef & Justin Vernon) – Hold My Liquor Lyrics on Rap Genius

Meaning

He 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.

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