In support of the EP, ATFEH embarked on their first nationwide tour in 2004, during which Welling (violin) parted ways with the band due to personal differences.

ATFEH recorded their first full-length album, Things Aren't So Beautiful Now, with producer Shawn Sullivan (Bleeding Through, Reel Big Fish) in the summer of 2004.

After recording the album, Peck (drums/band co-founder) also parted ways with the band, leaving the permanent drummer position open for a year afterward.

With the band's label status in disrepair and the lineup drastically changed, ATFEH took some time to regroup, and reemerged with their second self-released EP, aptly titled Pick Up the Pieces, which was released on July 1, 2008.

[13] In April 2014, this came to fruition, as Holt, Harber, Powell, Cruz, and Nguyen came together to play a small festival in Southern California, the band's first show in over five years.

On June 17, 2016, A Thorn for Every Heart played a second reunion show with fellow resurrected band and long-time friends A Static Lullaby[14] at the Roxy Theatre in West Hollywood.

[17] On December 14, 2018, the band came together for a third reunion at Emo Night Brooklyn's 2018 West Coast Holiday Fest at the Observatory in Santa Ana, California.

The announcement included a graphic showing the faces of (left to right) Powell, Nguyen, Holt, Cruz, Harber, and former drummer Matt Thorsen.

[19] In December 2024, the band put out previously unreleased singles to streaming platforms in anticipation of their fourth reunion show in Santa Ana, CA, on February 8, 2025, along with Taken, The Juliana Theory, and A Static Lullaby.