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A difference from the studio version for many years was noticeably louder drums that are persistent in the choruses. The keyboard part is usually played by the bassist ([[Danny Lohner]] and [[Jeordie White]]). However, since joining the band in 2009, [[Ilan Rubin]] also plays keyboard and the song is played with no drums.
On [[1991/01/22 Washington, DC||at least one live performance]], Reznor sang the unused lyrics in the ''Pretty Hate Machine'' booklet at the end of the song.
During [[Woodstock '94]] and [[Self Destruct Touring Cycle|Self Destruct]], Trent ended the song with "I can never have... and you will never, ever, ever understand... how I feel." Since [[Live: With Teeth]], the last chorus has seen an additional rising guitar screech.