thanks for all the birthday wishes,
but i actually was never born,
i spawned in a dirty creek and walked to the nearest house, slithered in through an open window and the next day they (current parents) started feeding me.
Post Malone basically plays her schizophrenic inner monologue on this song and brilliantly so! She gradually succumbs to those voices throughout the song and by the outro of the song you find her repeating his lines.