In a 2011 interview with A.V. Club, Violent J said:

Just wicked shit fun. Another character, much like Bowling Balls, stabs people. Fucking guy that runs around stabbing people. That’s his weapon of his choice, that’s his murder tool, or torture tool, whatever. Just to get inside the mind of a guy who likes to puncture people. […] They’re not the same character at all. Those are different characters. That guy is his own Freddy Krueger. He uses his finger blades, or whatever, and kills people in the dreams. It’s like if I made a song about that, and there was no Freddy Krueger, you feel what I’m saying? I believe that they could make a song about a guy who goes around killing people by stabbing them all the time. “I stab people.” Walks through crowded fucking hallways stabbing people at random. It’s a scary thing, and that’s the idea of that. But it’s also mixed in with humor, like a lot of the horror movies are. I’m not justifying it. I’m just saying that’s what it is. It’s just a story. A tale. Maybe that kind of music helps you vent anger. Maybe it’s just what it is. It scares you. You get enjoyment because you’re thinking about that. I’m painting a picture so realistic, you’re thinking, “God, that’s so fucked up,” and that’s what it is, it’s just horror. That’s what wicked shit is, you know?