[1] The album was heavily bootlegged, and in 1988, a compilation titled Acid Dreams Testament collected 13 of the original's 18 tracks, and added 15 more songs.

Past & Present Records reissued Acid Dreams Epitaph in February 2009 with some changes in the tracks.

Author and journalist Richie Unterberger noted that although many of the album's songs can be heard on other compilations, "a listen to Acid Dreams does remind veteran collectors of how unusual and exciting this stuff sounded before the style had been mined to death on other reissues, and when the few compilations available really did tend to zero in on authentically killer tracks instead of lumping a whole bunch of generic items together.

"[1] Music journalist Alan Ranta called the album "a brilliantly assembled exploration of pre-punk snarl and righteous feedback the likes of which is essential for freaking out the squares.

"[2] While Ranta criticized the album's sound quality, Ptolemaic Terrascope's Jeff Penczak said "these snarling slabs of attitude deserve to be heard in all their analog glory.