The song's protagonist opens by reminiscing about how their ex-partner used to make them feel, saying that the person "broke them and that the person's words used to cut like a knife. This individual feels a sense of betrayal and abandonment, as they sing about how their former lover left them feeling "like a stranger," even though they thought they knew each other well.
Throughout the song, the protagonist emphasizes how their past partner continues to "give them hell" by constantly entering their thoughts and haunting their memories. The chorus reflects their frustration and anger as they repeat, "Look what you made me do, look what you made me do."
In the bridge of the song, the protagonist expresses a desire to let go of the past and move on. However, they find themselves caught in a cycle of anger and resentment, as the memories of their failed relationship continue to haunt them.
Overall, "Gives You Hell" conveys a sense of emotional turmoil and heartache from a person who feels mistreated and deeply hurt by their ex-partner's actions. The lyrics illustrate the internal struggles and emotional complexities that can arise from a difficult breakup.