In the May 2006 issue interview with Revolver about the album re-issue, guitarist Mark Morton and vocalist Randy Blythe talked about the meanings of the song on the album and information about them.
" 'Pariah' was written about a certain individual who used to live in my beloved city, the former capital of the Confederacy, who I did not get along with too well. He was a fucking heroin junkie and was just an awful…
The sore on the edge of your mouth it
Mirror the ones on your arm of black tar
You've known the ripping