I get a "hell yeah" from Dre, looking boy

from Eminem – Rap God Lyrics on Rap Genius

Meaning

Referring to Dr. Dre notoriously saying “HELL YEAH” (ever since his days with Snoop Dogg), Most likely refers to the hook of the song “Business,” track 3 from the Eminem show

Must be a circus in town, let’s shut the shit down
On these clowns; can I get a witness? (HELL YEAH!)

Also references the previous lines stating that other artist just follow the label’s wishes. Em instead is the one with the ideas and gets encouragement from Dre instead of forced direction

Dr. Dre has been known to be hard on artists, being a huge perfectionist. Eminem having his approval is an accomplishment for that fact, especially as enthusiastic as a “hell yeah”

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