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Hand of Doom is the sixth track off of Black Sabbath's second studio album Paranoid.

This track is a favorite amongst Black Sabbath fans, it's been performed in concert numerous times and on rare occasions on "The End" tour.

Butler wrote the song after the band has observed a increasing amount of US soldiers arriving in England in the late 1960s after the Vietnam War with severe drug addictions. It's about them taking heroine to forget the atrocites of war, only for them to meet Death itself.

Lyrics

 What you gonna do
 Time's caught up with you
 Now you wait your turn
 You know there’s no return
 
 Change your empty rules
 You join the other fools
 Turn to something new
 Now it’s killing you
 
 First it was the bomb 
 Vietnam napalm
 Disillusioning
 You push the needle in
 
 From life you escape
 Reality’s black drape
 Colours in your mind 
 Satisfy your time
 
 Oh you, you know you must be blind
 To do something like this
 To take the sweet that you don't know
 You're giving Death a kiss
 Poor little fool now
 
 Your mind is full of pleasure
 Your body's looking ill
 To you it's shallow leisure
 So drop the acid pill
 Don't stop to think now
 
 You're having a good time, baby
 But that won't last
 Your mind's all full of things
 You're living too fast
 Go out, enjoy yourself
 Don't bottle it in
 You need someone to help you
 Stick the needle in, yeah
 
 Now you know the scene
 Your skin starts turning green
 Your eyes no longer seeing 
 Life’s reality
 
 Push the needle in
 Face death's sickly grin
 Holes are in your skin
 Caused by deadly pin
 
 Head starts spinning 'round
 You fall down to the ground
 Feel your body heave
 Death hand starts to weave
 
 It's too late to turn
 You don't want to learn
 Price of life is high
 Now you're gonna die
Paranoid
War Pigs, Paranoid, Planet Caravan, Iron Man, Electric Funeral, Hand of Doom, Rat Salad, Fairies Wear Boots