Six Feet Under is probably one of the most maligned of the "big name" bands in the death metal genre, but you have to give it to them: They don't care, and they keep pumping up albums. This album is actually not too bad overall. Lots of catchy, chugging riffs that get the foot tapping and the head bobbing, and a kind of old-school, rock 'n' roll vibe with a heavy delivery that's simple yet effective. It's kind of tame in that regards, but it's not like death metal always has to destroy everything in its path. The death growls are somewhat decipherable at times and they're just what you expect from Chris Barnes, but what really ruins the album for me are the occasional, but numerous "pig squeals" all over the album. They're screeching and sound so out of place that they're a distraction and often ruin what are otherwise good songs, which made me say "why!?" aloud more than a few times. So, overall good music on the lower end of extreme, but some dubious choices in the vocal department.