The Swinging Sixties in London were an exciting time. Everything was buzzing—customs and morals were shifting, and artists of all kinds were exploring new paths. Psychedelic drugs played a significant role in this cultural transformation, and the Rolling Stones were no strangers to their influence. Drugs inspired much of their music, both directly and indirectly. Some songs explicitly referenced them, such as Mother’s Little Helper (about Valium and other tranquilizers), Brown Sugar, and, of course, Sister Morphine.
A Dark and Haunting Story
The song tells the story of a man lying in a hospital bed, wracked with pain, pleading for relief from Sister Morphine. As the song progresses, he sinks deeper into stupor and hallucinations. Sensing the end is near, he invokes Cousin Cocaine. On various occasions, both Marianne Faithfull and Mick Jagger explained that the song depicts a man hospitalized after a car accident, gravely injured and in excruciating pain, longing for death.
The song’s dark themes are even more poignant considering how much its co-writers struggled with drug addiction. But was personal experience the main source of inspiration? The answer remains unclear.

Inspiration Behind Sister Morphine
Marianne Faithfull has mentioned in interviews that Sister Ray and Heroin by Lou Reed and The Velvet Underground played a role in inspiring Sister Morphine. In her autobiography, she also recalls an anecdote that may have influenced the song—particularly the chilling final line: “And you can sit around and you can watch / The clean white sheets stained red.”
Faithfull recounts a boat trip to Brazil with Mick Jagger, Keith Richards, and Keith’s then-pregnant girlfriend, Anita Pallenberg. Suddenly, Anita began bleeding heavily and panicked. A doctor was called, and he eventually gave her a shot of morphine. Faithfull recalls, “I remember that Keith and I were very proud of her in that idiotic junkie way. ‘Wow! You managed to score a hit of morphine!'”
Writing and Recording the Song
The creative process for Sister Morphine began in early 1968 while Jagger was vacationing in Italy with Faithfull. Mick came up with a promising chord progression, and from there, he and Faithfull started writing the lyrics. Keith Richards later contributed as well, and over the Beggars Banquet sessions, they further developed the song. However, the Rolling Stones ultimately chose not to include it on the album, allowing Faithfull to release her own version instead.

Faithfull’s version was recorded during the Let It Bleed sessions and released as a single in February 1969, with Something Better as the B-side. However, in the UK, Decca Records quickly withdrew it due to its drug references, with only about 500 copies sold. While the original UK release credited Faithfull as a co-writer, the American release on London Records omitted her name.
The Rolling Stones’ Version and Faithfull’s Legal Battle

The song was too powerful to fade into obscurity. In 1971, the Rolling Stones recorded their own version for Sticky Fingers. This time, it was not released as a single, likely to avoid controversy, but was simply included on the album. Sister Morphine finally reached a wider audience, earning the recognition it deserved—except in Spain, where it was removed from the Spanish release.
Despite her undeniable contribution, Faithfull was again left uncredited as a co-writer. While Jagger and Richards never outright denied her involvement, Jagger seemed to downplay it: “She wrote a couple of lines; she always says she wrote everything, though. I can’t even tell you which ones.” In contrast, Keith Richards was more supportive: “Marianne had a lot to do with Sister Morphine. I know Mick’s writing, and he was living with Marianne at the time. I can tell from the style that there were a few Marianne lines in there.”

In her autobiography, Faithfull offers an interesting explanation for her omission from the credits. In 1971, she was in a very dark place—homeless and battling drug addiction. She suggested that the Rolling Stones’ creative duo deliberately left her name out so that her agent wouldn’t collect royalties from the song. After a long legal battle, she finally regained her credit as co-author in 1994 when the Virgin catalog was updated. Since then, all reissues of the song have included her name in the credits.
During the recording sessions for her Broken English album, Faithfull recorded a new version of Sister Morphine, which was eventually released as the B-side to the Broken English single.
A Reflection on Fame and Excess
Sister Morphine is a remarkable song in many ways. Its haunting lyrics and melancholic melody are powerful on their own, but the fact that it emerged from the creative minds of this iconic trio—known for their excesses—gives it an even more ominous dimension. Fortunately, despite their struggles, drugs didn’t claim any of their lives—though at times, it came dangerously close. Many others weren’t as lucky.
Throughout music history, sudden fame has caught rising stars unprepared, pushing them into excess. Whether as a means to cope or simply to fuel a life of endless partying, too many artists have been consumed by addiction, leaving behind a legacy of brilliance cut tragically short.