The song delves into the emotional experiences of feeling different, overlooked, and struggling with self-worth. The chorus emphasizes this sense of isolation and despair: "No one else can do it like me/I’m the only one who makes me bleed/I'm the only one who makes me ugly."
The verses illustrate how the protagonist deals with these feelings, expressing a desire to escape and disappear, and projecting self-hatred onto the world around them: "I wanna die, I hate my life/I wanna cut what’s left inside/There’s no peace for the ugly."
The bridge, "I wanna love, I wanna live/But all that I find is I just sit and give," suggests a longing for connection and fulfillment but highlights the difficulties the protagonist encounters in finding these things.
Overall, "Ugly" expresses the intense self-loathing, isolation, and despair experienced by the protagonist. It touches on themes of identity, self-acceptance, and the struggle for emotional well-being amidst challenging personal experiences.