Cause that truth hurts and those lies heal
And you can't sleep thinking that he lies still
He doesn’t wanna lie to her, but if he tells her the truth it will kill her. So, he can’t sleep cause of all those lies.
There is also a double entendre in “lies still”. It means that he is still lying to her, and also that she is restless thinking about it while he is lying still because he’s sound asleep.
It’s also a play on the previous line. He wants to die real because if he tells her the truth it hurts her, but if he lies it makes her feel better, so he is conflicted.
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