The first section of this chapter explores Nietzsche’s attempt to explain the origins and continued prominence of metaphysical philosophy in terms of the utility it produces. It argues that Nietzsche takes seriously Schopenhauer’s diagnosis of ‘humanity’s metaphysical need’, but explains this more precisely as a form of narcissistic impulse. The second section of the chapter aims to address Nietzsche’s seeming ambivalence over whether ‘humanity’s metaphysical need’ is a fundamental and static feature of the human condition, or whether it is acquired and, therefore, in principle eradicable via a new naturalistic and ‘historical’ philosophy. The final section of the chapter situates Nietzsche’s views on science, suffering, and progress in the context of the ‘social question’, arguing that the Nietzsche of the late 1870s is closer to the likes of Marx and Dühring in taking suffering to be capable of being significantly reduced, thus ejecting the need for art and religion to endow it with meaning.