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You really hear a voice? Like it's someone with you? I cannot get my brain around the idea of having a voice inside my head and i just think of old cartoons where there was an angel and a devil on someone's shoulders. It would be crazy to have Morgan Freeman narrating my life - like that funny penguin movie he did. I do frequently get songs stuck in my head that keep me awake. I don't hear them, i just can't stop trying to get all the words in the right order.
Hard to describe but I'll try. Not sure if you've played Baldur's Gate 3, but it's a lot like that; announcing things other people are doing, commenting on what I'm doing, or sometimes a choice phrase that my brain seemed to find amusing might repeat a few times. Sometimes it creates a full-on musical number, like a song from American Dad, based around some fairly-banal incident. I've spent around 30 years writing various types of music so not sure if it's the chicken or the egg there.
I would think I'm insane if I hadn't been assured by many people (and a psychologist) that having an internal narrator is perfectly normal. It's when the voice starts talking directly to you and issuing commands that it becomes a problem, which fortunately I've never had. My stepbro is schizophrenic and from what he describes it's nothing like my inner voice, his is quite malevolent and conspiratorial when he's off the meds.
Is that how you write songs - by hearing then in your head first? I've wondered how musicians, artists, etc. produce art. I've started asking people if they have voice or images and most have the same reaction of shock that other people do or don't.
AFAIK whilst some creatives do fully conceptualise the work in their heads then set out to externally reproduce it, the more normal approach is to have a less complete notion and then create something via the process. IE, a musician might have a melody in their head but then they will play it on the instrument and experiment with different variations and accompaniments to see what sounds good and build on it that way, rather than sit and think of an entire piece based on that, then play it out loud.