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Josh Homme has been quoted as saying that this, the closing track on Rated R, is his personal favourite on the album.
Personally we love this one for the two minute horn outro- where the grungy riffs eventually drop out to leave just this discordant brass section to finish the album off.
Homme has been known to state that I Think I Lost My Headache is meant to evoke a sense of paranoia, and those eerie horns certainly seem to leave us with that impression. It’s a classic ending to an album; we don’t think you could find a better way to round-off an album like Rated R than this.