Dying Fetus stands atop the mountain of supreme brutal, technical death metal. This album is a masterpiece from start to finish. Their unique and creative riffs are only enhanced by incredibly tight percussion and a dual vocal approach. This band is the total package: the best grinding metal band out today. Always sounded to me like the blended Suffocation's speed with Internal Bleeding's thick and nasty riffs to create songs that make you want to SMASH and BREAK.