Meaning of "Black Hill Sanitarium" by King Diamond

"Black Hill Sanitarium" delves into the harrowing reality of being confined in a mental institution, where individuals struggle with mental illness and the oppressive environment of the facility. The lyrics portray a sense of isolation and fear, as the protagonist navigates through the halls filled with other inmates who evade their gaze. The repeated emphasis on the mentally ill and those who have lost the will highlights the psychological toll of being institutionalized. The mention of therapy, needles, and the men in white alludes to the clinical and invasive treatment prevalent in psychiatric facilities, further reinforcing the protagonist's desperate desire to escape and find relief from the torment. The song captures the psychological distress and yearning for freedom experienced by those trapped within such institutions, shining a light on the struggles faced by individuals battling mental illness in an oppressive environment.