Imagery helps to set the scene and tone of "Siamese Twins." The song begins with images of "falling angels," "fire," "red lights," a "voodoo smile," and even that of "flesh and blood." These images inspire feelings of sin and deterioration, and set a hopeless tone for the piece. This tone contributes to the overall premesis of the relationship; that is, the enviroment is cold, dark, hostile, and as it emphasizes two choices (maintaining or closing a relationship) both emphasize misery, death, and show no successful way out. This can be related to the ancient and modern day belief that life is difficult for Siamese twins to lead conjoined, but is also amazingly difficult if they are torn from their once-connected twin, and furthermore, sense of self.

Smith ties in other ancient day beliefs by employing the device of irony. When describing this relationship, he expounds on the gender-role reversal, and discusses the woman's dominance by describing feelings of inadaquency: "Everything falls apart," and "In the morning I cried." He describes her engulfing personality as one that "glows and grows / with arms outstretched / her legs all around me". Though not all relationships are dominated by a male figure, Smith views her dominance as a main factor of the struggle they face. Irony is also utilized as Smith associates death with what most would consider a life force, that being an initimate relationship. He identifies a normally joyous event like "the first kiss" with "flesh and blood." Tender touch is replaced with the feeling of "worms eat[ing] my skin." He also initiates the idea of no easy resolve in the relationship; "we all die."

Parallelism used in free verse form is also powerful and when encompassing the focus of the poem. By employing parallelism such as:

When the lyrics are looked at as a whole, it is quickly noticed that there is no dominant rhyme scheme. Because of this, the lyrics are poetically classified as free verse. When one hears a song about love or relations, a couplet-filled sing-song approach is often used to glorify the fluttery feelings of love's splendor. However, the relationship presented to the listener is a distorted or preverted sense of love, and the free verse format indirectly displays this. This format tells of a relationship where nothing can be expected, or easily resolved as in a couplet's neat rhyming pattern. Nothing about the relationship is neat or tidy.

Something more than love keeps the people in this relationship together, and that is an urecognized independence. For the weaker half, it is dependence of her "unbearable" dominance. While it strips him of his power (and therefore, happiness) it feeds him a new life-force: anger. This ironic anger causes him to compare their relationship to death. It is also this ironic anger that causes such a man to "laugh[ing] into the fire" and relate his relationship to that of Siamese twins: a life impossible with or without someone, and therefore seen as a long precursor to death, which must be endured. There is no way out.

Originally penned: 12/4/97 Reworked on: 1/13/97