"Ill What I Bleed" presents a confident Kid Cudi delivering his verses over a hypnotic production by BNYX®. The lyrical content appears to convey resilience and triumph over adversity.
The rapper opens with a sense of fearlessness, asserting that he's survived challenges and emerged stronger. This resilience is further emphasized with lines like "Keep on coming out the rubble / The 'Now he's alive'," suggesting that he's overcome obstacles that may have appeared insurmountable.