The self-described Antichrist Superstar took a big hit when the Columbine Massacre happened in 1999 with news agencies falsely reporting that the perpetrators, Eric Harris and Dylan Klebold, were fans of Manson. Critics blamed Manson songs like "Get Your Gunn" ("I throw a little fit / I slit my teenage wrists") for inspiring the massacre. Manson later wrote in "Rolling Stone": "The title is spelled with two n's because the song was a reaction to the murder of Dr. David Gunn, who was killed in Florida by pro-life activists while I was living there. That was the ultimate hypocrisy I witnessed growing up: that these people killed someone in the name of being 'pro-life.'"

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