From Rap Dictionary

>===noun=== Land of the Heartless

Cleveland, Ohio. example: Track #10, E. 1999/Eternal, Bone Thugs-n-Harmony(c. 1998)

Probably a reaction to Ohio being part of the Midwest, called the "Heartland of America"-- they are saying no, in fact it is heartLESS.

Bone Thugs-n-Harmony are a rap group from Cleveland, Ohio, thus the title of the song

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