This song finds Bowie reflecting on his own mortality. He said: "The words started appearing out of nowhere. I just couldn't control them."
Written prior to September 11, 2001, the song was released as the title track of Bowie's Heathen album nine months after the attacks giving it an added meaning.
Bowie's assertion that "all things must pass" was likely a nod to the recently deceased George Harrison.
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