As with several of their other songs, Papa Roach has performed "Scars" live with Spanish lyrics.

The first music video was directed by Steven Murashige and notably featured computer animation.

[4] The video tells the story of Shaddix's girlfriend, played by Taylor Cole, who drinks excessively and parties too much.

She wakes up the following morning with a hangover and, while grabbing her coat, knocks over a candle, which lands on a mat on the floor.

The band performs this song on top of the burnt remains of Shaddix's house.

[10] In the United States, the song is certified 3× platinum for digital sales exceeding 3,000,000.