Without a doubt this is my favorite Tourniquet album. All the refinement of Pathogenic, but with a brand new sound. Luke Easter's voice was such a stark departure from Guy Ritter that it didn't take much else to make this feel like a completely new band. The lyrics leaned away from medical themes and toward like issues like the effects of child abuse, and finding contentment. Just like its predecessor every song is an auditory feast. There's just something about 5-piece arrangements that adds girth to the sonic landscape.
When this album was first released I listened to it repeatedly for a solid year. (Yet somehow never learned the correct lyrics to Acid Head). Although I really love the intros to Bearing Gruesome Cargo, Vanishing Lessons, and Acid Head (seriously some of the coolest intros ever recorded), my favorite was Drowning Machine: mostly because of that sweet chorus. When the remaster was released and I got to hear the original version, I loved it even more.