Damn it's hard to breathe! But if I got one breath left
I'll suck wind from the valley of death
Here I come, from the slums of earth to center

from Organized Konfusion – Releasing Hypnotical Gases Lyrics on Rap Genius

The effects of the gases may limit oxygen intake, this could also be a reference to Monch’s Chronic Asthma he has suffered from since he was a child.

Despite these two possible factors, he’ll continue to fight whatever is coming his way.

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