You Know What They Do to Guys Like Us in Prison

This song is about a man who is involved in a crime ("In the middle of a gunfight, in the center of a restaurant"). He believes that the police will be unable to catch him ("Well they're never gonna get me, I'm like a bullet through a flock of doves"), but he is arrested and sent to prison. The rest of the song refers to prison life: "Will they give me the chair or lethal injection or swing from a rope if you dare." This refers to the thoughts of the prisoner. The line, "What they ask of you will make you want to say 'so long"' refers to him contemplating suicide and may also refer to prison rape and other abuse.

Bert McCracken of The Used provides backup vocals during the second verse of the song.

In 2003, Grantland reporter Andy Greenwald was a witness to Gerard Way and Bert McCracken's chemical-fueled antics one night in Chicago, which - Way told Greenwald - partly inspired the song. When Greenwald reported on the band's breakup in 2013, he recalled the fateful bender: "One night the two kept me in the room with them until dawn as they drained the minibar, sent the concierge out for smokes, and made increasingly frequent trips to the bathroom."