The Madonna renaissance is in full swing. Today the pop icon released her first music video in four years: the visual for “Medellín,” the lead single from her upcoming album Madame X. As you can expect, it is wild. In the clip, Madonna does everything from sucking her own toes to getting married to Colombian reggaeton singer Maluma, who guests on the track. All the while, Madonna shows off an impressive array of eye patches — no explanation necessary.

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