The lyrics of Gretchen Wilson's song "Pain Killer" revolve around the theme of heartbreak and the desperate need for something or someone to help alleviate the pain. The singer expresses her struggle to move on from a past relationship, using whiskey as a metaphor for trying to drown her sorrow. However, she realizes that it only leaves her feeling empty and still consumed by the hurt inside. Yearning for a release, the narrator seeks a "painkiller" in the form of companionship and comfort. She craves a connection with someone who will hold her close and help her get over her former lover. This could be interpreted as a plea for a fling or a one-night stand to distract her from her emotional pain. Despite her desire for temporary relief, there is a bitterness underlying her plea. She acknowledges that the taste of the painkiller, the substitute for love, will be bitter. The metaphorical "stranger" she mentions represents someone unknown who might provide this temporary escape from her heartbreak. The repetition of the phrase "before this pain kills me" emphasizes the urgency and intensity of her emotional state. It encapsulates her desperation to find a way to heal before the pain becomes overwhelming. Ultimately, the song conveys the longing for a temporary distraction from heartache while acknowledging the bitter reality that it may not bring lasting relief.