If I'm alive that is.. If I'm alive that is
Do you think of me at all? Would you think of me at all?

from WZRD (Ft. Dot Da Genius & Kid Cudi) – Efflictim Lyrics on Rap Genius

Meaning

To be living (physically) is different than to be alive (emotionally/spiritually) He asserts then, that if he is alive compared to whether if he was dead (previously in the intro), does that person think of him at all, and if not would they someday?

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