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The 'Old Town Road' singer joined forces with streetwear brand MSCHF to create the trainers, which are modified Nike Air Max 97s adorned with a pentagram pendant and a reference to Luke 10:18, a Bible verse about Satan's fall from heaven.
Oh, and they also contain a drop of human blood in the sole, drawn from members of the MSCHF team.
After the 21-year-old announced the collaboration on social media, he was met with criticism from fans who weren't so keen on his use of Satanic imagery and references.
He's now responded to the backlash - though his apology vid isn't quite what you might expect.
In a YouTube video titled 'Lil Nas X Apologizes for Satan Shoe', he says: "OK, guys, I see everybody's been talking about this shoe, and I just want to come forward and say..."
The clip then cuts to a lap dance scene from the video for his new song, 'Montero (Call Me By Your Name)', which opens with the words 'f*** it'.
With just 666 pairs available, the shoes are being sold for the sizeable price tag of $1,018, which is a reference to the Bible verse included on the shoes.
While the style of the footwear is derived from the Air Max '97 trainer, Nike has been quick to point out that it has no affiliation with the product.
In a statement, Nike said: "We do not have a relationship with Little Nas X or MSCHF.
"Nike did not design or release these shoes and we do not endorse them."
Lil Nas X - whose real name is Montero Lamar Hil - has since defended his use of religious and Satanic imagery, retweeting a reply to a now-deleted post that read: "There is a mass shooting every week that our government does nothing to stop. Me sliding down a CGI pole isn't what's destroying society."
Other users pointed out that Satanic imagery has been used in music for decades, posting the cover art of Slipknot, Black Sabbath and Slayer as examples.
On Saturday, Lil Nas X again took to Twitter amid the backlash to explain his struggle with his sexuality as a teen, writing: "I spent my entire teenage years hating myself because of the s**t y'all preached would happen to me because I was gay.
"So I hope u are mad, stay mad, feel the same anger you teach us to have towards ourselves."
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