20 Years Paranoid was a concert tour by American-Scottish alternative rock group Garbage, to mark the twentieth anniversary of their second album Version 2.0.

[6] The tour was also supplemented by two festival shows in North America: CalJam in San Bernardino, CA preceding Tenacious D, Iggy Pop with Post Pop Depression and Foo Fighters, and ended their run at the Mother of All Rock Festival in Monterrey, Mexico, preceding Sammy Hagar, Whitesnake and Guns N' Roses.

Electric Picnic[7] CalJam 18[8] Mother of All Festival[9] An orchestral sample, pitch-shifted and slowed down preceded the band onstage, where they opened with b-sides "Afterglow" and "Deadwood".

"Wicked Ways" is mashed-up with a section from Depeche Mode's "Personal Jesus",[10] "13x Forever" ends on a part from The Kinks' "Tired of Waiting for You", while "You Look So Fine" features an extended outro of lyrics from Fleetwood Mac's "Dreams".

These include dialogue from movies such as Natural Born Killers, To Have and Have Not, Sex, Lies, and Videotape, 2001: A Space Odyssey, Blade Runner, All About Eve, The Conversation, The Graduate, Eternal Sunshine of a Spotless Mind and The Crow.

The encore consists of album centrepiece "The Trick Is to Keep Breathing" and a cover version of David Bowie's "Starman", which was released on November 23, 2018 as b-side of the "Destroying Angels" single.

[11] At both London shows, "Starman" was substituted for "No Horses" and "Cherry Lips", which continued on as the closing songs for the rest of the tour.