"Song to Say Goodbye" is the second single from Placebo's fifth studio album, Meds. It was produced by Dimitri Tikovoi. The first single, "Because I Want You" was only released in the United Kingdom, so elsewhere, "Song to Say Goodbye" is considered the first single from Meds. The song develops around piano notes that repeat throughout it. The song deals with heroin addiction and its influence on the relationships of the parties involved. There is a live version available of the song on the live EP Live at La Cigale. The cover art features a blurred picture of vocalist, Brian Molko.