[3] Underoath formed on November 30, 1997 in Ocala, Florida by vocalist Dallas Taylor and guitarist Luke Morton.

[6] The two would recruit guitarist Corey Steger, bassist Octavio Fernandez, and drummer Aaron Gillespie from Tampa.

Boland wrote the album has "flashes of brilliance" but "doesn’t have the creative legs to stand the test of time."

Boland concluded his review by saying "Despite its many flaws, Act Of Depression is a curious look at the humble beginnings of an influential band.

On the 2013 re-release, the silent tracks and "Spirit of a Living God" are removed, as well as the audio sample in the beginning of "Innocence Stolen".