The band has commented in the past about the album, saying that The Black Parade is like a different band performing in a different 'world', and once that's over, My Chemical Romance will never be The Black Parade again. The album largely focuses on one character, The Patient, but also consists of songs and lyrics about different subjects and aspects of life and death. At the end of the CD, there is an extra track called Blood which plays over a minute and a half later.