This song contains subject matter that may not be suitable for all readers as it deals with the topic of self harm.

“Hell’s Itch” is the fifth song on Ice, Death… and is a fast paced jam utilizing the Mixolydian scale that focuses on the titular hell's itch, an uncontrollable reaction to sunburn. While the song focuses on this uncomfortable burn, it features in-jokes and references to the band’s other material. The line “flick the switch” initially appeared five years prior within the alternate lyrics of “Han-Tyumi, the Confused Cyborg”. Musically the song ties into “Witchcraft,” “Dragon” and “Flamethrower” as well as The Silver Cord song “Chang’e” by using a similar riff around the three minute mark. A specific line in the song has caused some confusion; a quick mention of the name Helen in the lyrics “look at me now, Helen. Yes, I’m finally red.” While many fans took this to be a reference to Helen of Troy or even singer Helen Forrest who sang a song called “Oh! Look At Me Now,” the answer is much less epic. Helen is apparently a nickname Ambrose was given, while Joey has the nickname Red. The phrase is just an in-joke that made it to the final version of the track.
“Hell’s Itch” is the longest track on the album and a fan favorite for its unique, airy instrumental and uneasy lyrics that capture the condition perfectly.

Liner notes indicate that the lyrics were written by Stu, Ambrose, Joey, Cook and Lucas while the music was written and performed by Stu (guitar/piano/bass/percussion/vocals/flute/organ), Ambrose (keyboards/saxophone/percussion/vocals/harmonica), Cavs (drums), Joey (bass/vocals) and Cook (keyboards). It was released on October 7th, 2022.

“Hell’s Itch” has never been played live but was jammed before release during a performance of “The Dripping Tap” on 2022-04-26.