A lot has to do with the story. Nobody would likely listen to this as pure music.

What is "pure music"? Who listens to music with no ideas about it?

Of course music can be worse than random: it can be annoying.

I get a downvote, huh? Look, I like Ornette Coleman. I like Nurse With Wound and Merzbow and avant-garde noise. I do not like 21st century pop. If I have to have music played to me against my will, I would way prefer it to be random notes than if it presented a slimy modern personality, or used a tone of voice to sing at me with, or conveyed vapid little bad ideas in its lyrics.