This is the fourth in a string of five songs which make up Dream Theater drummer Mike Portnoy's "Twelve-step Suite." The song speaks of steps 8 and 9 in the Alcoholics Anonymous 12 Step system, which Portnoy sums up as "Regret" and "Restitution." When we spoke with Mike Portnoy in 2010
, he explained how alcoholism effected him: "That lifestyle and that disease, which I have, is going to take you out. You have two choices when you're that deep: you either have to get sober, or inevitably end up in hospitals, institutions, death, or jail. There's only two roads when you're that bad of an alcoholic or an addict. And I saw the writing on the wall for myself ten years ago. I have a son and a daughter who were just born back then, in the late '90s, and I saw that my alcoholism was killing me, physically, emotionally, and mentally. And I saw what it did to some of my heroes, people like Keith Moon and John Bonham, and it scared the hell out of me. I had to make a decision. I wanted to live. I wanted to be a father and a husband and be alive for my family, friends, and my band. And that's when I decided to get help and get sober."