 These lyrical themes are demonstrated in songs such as "The Optimist", about a crumbling human society, and "Tug of War Intestines", which depicts children playing schoolyard games with a surgery patient's internal organs.The band has occasionally brought the "Skinless Girl" on stage and let her be roughed up, covered in fake blood, while the band performed.Earlier in the band's career, Skinless handed out long tubes of foam for the audience to beat each other while the band played.