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On “SAD!” like many of his songs, XXXTentacion revolves around the struggle of letting go of a loved one and the feeling of depression that follows it. After X was murdered on June 18, 2018, "SAD!" peaked at #1 on the Billboard Hot 100.

X details emotions of uncertainty surrounding a specific relationship. He is insecure and heartbroken due to the fact that his girlfriend left him, bringing about the overall depressed vibe.

He also brings up suicide, which is a subject X often discusses in his songs. For example, his song “Jocelyn Flores,” off of his 2017 album, 17, where he rapped about a friend of his who suffered from depression and committed suicide.

This song was frequently teased as an intro of X’s gaming videos on his YouTube channel prior to its release.

It was released as one of the lead singles along with changes for his second studio album ?

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