He's admitted that his past drug use almost cost him his life.
And if the latest pictures of Eminem are any indication, the years of abuse seem to have had a lasting impact on his face.
As the rapper spoke at the Wall Street Journal's Innovator Of The Year awards in New York on Wednesday, he looked haggard and gaunt.
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Haggard: Eminem spoke at the Wall Street Journal's Innovator Of The Year awards in New York on Wednesday
While dressed in his usual uniform of black with a beanie, the lines and prominent veins in Eminem's pallid face were clearly visible.
Eminem's drug abuse started during the filming of his movie 8 Mile, when he was on set 16 hours a day and could not sleep.
After being given an Ambien he sought out a prescription, and became hooked on the pills.
This soon led to him taking what he calls a 'ridiculous amount' of pills - he has admitted to abusing prescription drugs Ambien, Vicodin and Valium.
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