Changes

| live = [[Self Destruct Touring Cycle]] <br> [[With Teeth: Summer Amphitheater Tour|With Teeth Amphitheater Tour]] through [[Performance 2007]]<br>[[NIN 2013 Festival Tour]]<br>[[Cold And Black And Infinite Tour]]through present

This is the original album version. Minimalist in nature, it features a simplistic and repetitive guitar riff and bassline building up with a backing thunder loop, which leads into "[[Happiness In Slavery (song)|Happiness In Slavery]]."It also [[samples]] ambient noises from ''The Empire Strikes Back''.

"Help Me I Am In Hell" made its live debut on [[1994/04/19 Seattle, WA|April 19, 1994]]. This song is typically featured as an instrumental lead-in, often including wind sounds and a drum rhythm. On the [[Self Destruct Tour]], it led into "Happiness In Slavery" to form the end of the encore. It has also been used before "[[Non-Entity]]" and "[[Eraser]]." When the song returned to the live show in 2018, [[Ilan Rubin]] played cello instead of drums.