All Cleaned Out by Elliott Smith is a poignant exploration of themes such as betrayal, substance abuse, and emotional desolation. In this song, Elliott Smith narrates the story of an individual who seems to have squandered their potential and become emotionally 'cleaned out' due to bad decisions and possible addiction. The lyrics paint a vivid picture of internal conflict and the sense of emptiness that follows. Key moments in the song include reflective lines that touch on lost opportunities and the emotional toll it takes on their relationships. Through its haunting melody and raw lyrics, the song provides a sensitive yet stark insight into struggles with inner demons.