Two separate videos were produced for "Mein Herz brennt", one for the original version and another for the piano version.
The song first appeared as the opening song to the band's third album Mutter in 2001, and was used as the opening track for concerts during that era.
The song was released as a single to promote the then-upcoming video collection Videos 1995-2012.
The song's lyrics involve a narrator describing the terrors of nightmares.
The song's narrator appears as a darker version of the character.