
WATCH: Clown Discusses Mortality and Legacy with Rick Rubin
MALIBU, CA — M. Shawn “Clown” Crahan, the visionary co-founder of Slipknot, has revealed a serious medical battle that has been lurking beneath the surface of the band’s chaotic stage shows. During a deeply personal, two-hour conversation on Rick Rubin’s Tetragrammaton podcast, the 56-year-old percussionist disclosed that he is suffering from a “skipping heart” and is scheduled for corrective surgery.
The revelation comes at a pivotal moment for the band as they continue to navigate their fourth decade, proving that even the most volatile forces in metal aren’t immune to the passage of time.
TL;DR: The Key Takeaways
- The Diagnosis: Clown is suffering from an electrical issue in his heart that causes it to “skip” beats, which was discovered after the band’s most recent tour.
- The Danger Zone: His resting heart rate has plummeted to dangerously low levels—43 BPM at night and as low as 33 BPM during the day.
- The Procedure: He is set for a surgery to correct the heart’s electrical rhythm, a procedure he describes as “easy” but necessary for his survival.
- The Slipknot Paradox: Clown admits he “hates” that Slipknot is the very thing keeping him alive and forcing him to stay healthy.
“I Feel Like I’m Dying”: The Road to Diagnosis
The discovery of the heart issue wasn’t a sudden collapse, but a gradual realization that something was fundamentally wrong. After finishing Slipknot‘s last tour, Crahan sought medical attention after a period of not feeling well.
“I went in, and the nurse was trying to get an EKG thing going on me… and it just wasn’t happening,” Clown recounted. “They thought I was having a heart attack right there.”
While he initially feared the diagnosis might end his touring career, his doctors delivered a surprising ultimatum: get the surgery, get in shape, and prepare to do more. Because of his athletic history on stage, his brain has essentially “taught” his body to operate like a cross-country runner, leading to his incredibly low resting heart rate.
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The Purpose and the Pain
In typical Clown fashion, the medical crisis was filtered through the lens of his art. He spoke candidly about the strange, symbiotic relationship he has with the band he helped build from the Des Moines basements.
“I hate that it keeps me alive,” Crahan admitted to Rubin. “It makes me drink water. It gets the bad smoke out of me… It gives me desire. It gives me will. Gives me purpose. And I can’t stand it. It’s such a priority of existence.”
The “concierge” level of care he now receives as a member of one of the world’s biggest bands has ensured that the surgery will likely be a same-day, outpatient procedure focusing on the heart’s “electricity” rather than a more invasive open-heart surgery.
A Full Circle Moment with Rick Rubin
The interview itself was a milestone for fans, marking a rare public sit-down between Crahan and Rubin. The two famously worked together during the production of 2004’s Vol. 3: (The Subliminal Verses)—an era Slipknot members have historically described as difficult. The 2026 conversation, however, focused on legacy, the loss of bandmates Paul Gray and Joey Jordison, and the relentless drive that keeps the Slipknot machine moving.
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FAQ: Slipknot 2026 Update
What is wrong with Shawn “Clown” Crahan’s heart? Clown has an electrical issue described as a “skipping heart.” It causes his heart rate to drop as low as 33 BPM during the day.
Is Clown leaving Slipknot? No. In fact, his doctors told him that after the surgery, he will feel better than ever and will need to get in shape to continue the band’s high-intensity performances.
What kind of surgery is it? It is a procedure to correct the heart’s electrical rhythm. Clown described it as a “very easy surgery” where patients are typically released the same day.
Who did the interview? The revelation came during Episode 176 of the Tetragrammaton with Rick Rubin podcast, released on May 6, 2026.
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Band Bio: Slipknot
Formed in 1995 in Des Moines, Iowa, Slipknot transformed the landscape of heavy metal with their nine-member lineup, matching jumpsuits, and iconic masks. Led by the creative vision of Shawn “Clown” Crahan, they have achieved multi-platinum success and won a Grammy for “Before I Forget.” Despite the loss of several founding members, the band remains a dominant global force, currently celebrating their 30th anniversary era.
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