Literally.

You'll think that's weird

but yeah, I have a rag doll

hanging from a hook on my heart

just don't think that's a kind of omen

'cause I'm not paranoid enough

to decorate my life with these urban legends

I don't mind if she (literally) lost her mind

'cause he was a pretty boy with a pink rose

on the other hand he had a knife

which he used to cut your heart into slices

do you want a slice of cherry pie?