[Intro: Eminem]
Yeah...
This ain't a relapse — this a relapse of a relapse
Shady’s back like a spine surgeon with a hacksaw — off the meds
Yuh...

[Verse 1: Eminem]
Off the meds, I’m a motherfuckin’ red alert
Every thought I jot is a headshot in a nurse’s skirt
Mind twisted like a Rubik's with a crucifix
Mood switch quicker than Kanye after mood lifts

Bipolar? Nah, bi-winning, bi-violent
Knock knock — who’s there? It’s me with a violin
Smashing through the door like “Here’s Johnny!” with a blade grin
Hospital gown on, dick out, and I’m racin’

I ain't takin' shit unless it comes in lines or capsules
You pop pills for the calm, I pop ‘em to start battles
I’m the reason therapists are slammin’ clipboards
And your favorite rapper’s cryin’ in Discord

Ain’t no chill, I’m beyond that, Shady with a contract
To kill off clones and leave they face inside a Comcast
Smile for the livestream, stab you in 5K
And teabag the mic while I’m spittin’ out migraines
[Chorus]
I’m off the meds — no leash, no doc, no rules
Sick in the head — I make padded rooms look cool
We off the meds — ain’t no peace talk, just tools
One screw loose, now the whole brain’s a damn pool (Splash!)

[Verse 2: Joyner Lucas]
Off the meds like a vet with a vengeance
Every bar’s a syringe full of pent-up aggression
Step in my lane, get wrecked with a sentence
I spit venom like I fuckin' invented infections

Brain gone AWOL, heart like napalm
God hit “uninstall,” now I’m just a stray bomb
Joyner the juggernaut, fuck if the judge’ll watch
I'll pull up with a rhyme and a Glock in a fanny pack

No therapist can analyze this wrath
I chew Xanax just to sharpen my math
You try to medicate a maniac, that’s cute
But I just crushed Prozac in a gin and juice

Mood swing in the booth, now I’m burnin’ the roof
You talk peace? I turn beef to a fountain of tooth
We both monsters in a circus act
I throw bars like chairs, Em throw axes back
[Chorus]
We off the meds — ain’t no filter, fk peace
Sick in the head — this is art, this is beef
We off the meds — you want war? Say less
Say “Shady ain’t st” — say goodbye to your chest

[Bridge]
You ever scream at a wall ‘til it screams back?
You ever rip a beat open with a ski mask?
You ever laugh while your shadow tries to strangle you?
That’s where I’m at — welcome to the padded zoo

[Outro: Joyner Lucas & Eminem]
[Joyner]
Straightjacket fresh, off the leash, off the ledge
[Eminem]
Slim still breathin’, fuck peace — I want heads