I think all the opinions of this song are taking the song way too literally. If you know anything about Chris Cornell, his bout with heroin was his monkey on his back, and the "Burden In His Hand". He refers to the object of his addiction, (heroin), as "her", but that doesn't mean it is a woman or female creature. Below is a copy of the lyrics, and my interpretation. As a songwriter, lyricist and producer of 40 years, I have a good understanding of where the pain of many artists come to write about... and remember, this was in the days of the "Seattle Grunge Invasion", where most of the big musicians were into heroin. (Layne Staley, Kurt Cobain, others)
"Follow me into the desert As thirsty as you are Crack a smile and cut your mouth And drown in alcohol"
--- he's asking you to follow his story of desperation regarding his addiction, his "desert". If you "smile" you "cut" your mouth because the smile is fake. You are desperate too. Drowning in alcohol is only the legal "painkiller" you can buy freely, which is why the 30% of the world population can be considered alcoholics. Drowning in booze is just another path to self destruction he knows he's on, and his "go to" solution if he can't find his heroin fix. He never admitted to using "heroin" and made his comments about his addictions strictly about "alcohol", but this song was released after his friend Kurt Cobain committed suicide, and Layne Staley overdosed, along with several other close friends he saw dropping due to addictions.
"'Cause down below the truth is lying Beneath the riverbed So quench yourself and drink the water That flows below her head”
---the "riverbed" is the source of Life, and below that, even if the riverbed is dry, you can dig "below" for water and find "truth", but there is a "lie, a deceit" that "flows below her head". What is the first big hint at what the song is in this phrase, "her head" --it means the tip of the syringe needle. He's saying you think you'll find satisfaction and relief in heroin. You think you're drinking water of "truth", but notice it's "below her head". Who is "her"? Heroin. Also, take notice that the "truth" is "BENEATH" the riverbed. It's not the real water flowing in the riverbed, its the dried up riverbed that forces you to dig to find release to your emotional pain.
"Oh no there she goes Out in the sunshine The sun is mine, sun is mine --- I am shooting up, the day is not rainy because I'm high and the "sun is mine"... said TWICE.
"I shot my love today Would you cry for me I lost my head again Would you lie for me
--- then he actually states he "shot" (shoot up) his "love" (heroin or other drug). Will you cry for him and his lack of control, and spiral to these depths of self-destruction? He lost his head, and if you were his friend or "hanger-on", would you "lie" for him?
"Close your eyes and bow your head I need a little sympathy 'Cause fear is strong and love's for everyone Who isn't me
--- "close your eyes" to his addictions, his failures, bow your head and say a prayer for him because he "needs a little sympathy". His fear is strong, and he thinks everyone else gets love that "isn't him".
"Kill your health and kill yourself And kill everything you love And if you live you can fall to pieces And suffer with my ghost
--- If you follow his path, you will "kill your health and kill yourself and kill everything you love". If you "live", you will still "fall to pieces" and suffer with his own "ghost", predicting his own death, and if you're on his same path of self destruction, you will "suffer" with the memory of him dying, regardless of his rockstar status, he died unhappy, addicted, and his addictions will be his "ghost" following you.
From: https://songmeanings.com/threads/c/73016153927/
