The Nine of Swords symbolizes agony, anguish, and despair.
It is often associated with illness, heartache, and sleeplessness.
The card can also represent a disorder, like depression or anxiety.
It can be a sign of someone who is victim of injustice or cruelty, or who is suffering from the aftermath of an attack or assault.
This card can also be a sign of alcoholism, as it is often associated with self-destructive behaviors.
The Nine of Swords can also signify a victim of some sort of crime.