"Hexagram" could be considered one of Deftones' most brutal songs and certainly one of their most intense singles. This is largely attributed to Chino Moreno's extremely raw and long-drawn screaming which virtually exceeds the limits heard in other Deftones material, matched by the interlocking of heavy guitar riffs and aggressive drums backed by somber synthesizer keys.
The black & white music video for "Hexagram" shows excited fans entering a building to watch a live performance of the song. As such, the majority of the video focuses on this performance, with small exceptions like a shirtless, incapacitated Moreno lying on the floor during the moody bridge. Audio for the video is entirely off the studio recording until the very end which features live crowd noise. Many shots during intense screaming revolve around other band members, as such intense vocal performances would be impractical in an actual live setting.
In contrast to the single's minimal radio play, the "Hexagram" video found significant rotation on the more underground-oriented Headbangers Ball and Uranium in late 2003.