Sick City by Elton John reflects on the darker aspects of urban life, addressing themes of disillusionment, corruption, and the decadence often found in large cities. The song critiques the emptiness and moral decay that can accompany urban living, and how cities can transform people. Key moments in the song include observations on the superficial happiness and the underlying sadness within the city. Lines that describe the stark contrast between outward appearances and inner desolation are particularly poignant.