This is excellent doom/death metal, a genre with few albums but many great ones. Asphyx is the fucking king of the doom/death genre and this album is a masterpiece, one of their best ones. The riffs are slow, mournful, and heavy as fuck. The main emphasis on this album is heaviness, to the detriment of everything else. This is slower than their previous albums, so slow it barely even moves at times, slowing down to merely a pulse, and that pulse is the beat of someone dying of heart failure. The album sounds bass oriented and down tuned. The vocals, which sound like someone who is dying and it totally fits their music. This is unmatchable Death Doom the way it should be : slow, punishing and totally HOPELESS!