[1][2] Two of the songs had previously been included on the band's 1991 debut EP As Ugly as They Wanna Be though some small changes were made for this album: "Madman" was given a new vocal track while "Everything About You" was given a spoken intro by actress and then Saturday Night Live cast member Julia Sweeney as her questionably gendered character, Pat.

The censored version depicts the Ugly Kid Joe mascot gagged, handcuffed in one hand (which is covered with duct tape) and tied in rope, while his legs are wrapped in chains.

The album received a positive review from AllMusic's Stephen Thomas Erlewine, who said that it "delivers a set of similar rockers and a handful of power ballads, including a revamped version of Harry Chapin's 'Cat's in the Cradle'" and described the music as a "mixture of fizzy, fuzzy riffs, sing-song melodies, and calculated obnoxiousness [that] isn't that offensive.

"[3] Deborah Frost of Entertainment Weekly, however, gave the album a C− and called it "a weak attempt to pad Ugly out to LP length with Lynyrd Skynyrd licks, Mister Rogers jokes, a scarily straight Harry Chapin cover ('Cat's in the Cradle'), and 'Mr.

"[5] Steve Hochman of Los Angeles Times gave it one-and-a-half stars out of four and called Ugly Kid Joe "generic MTV-rad-party dudes in baggies and Ts who seem to know how certain kinds of rock are supposed to sound but have no clue as to why.

[...] The would-be centerpiece, 'Goddamn Devil,' has neither the irony nor the evil needed to revive that tired topic, despite a guest appearance by Judas Priest's knowing Rob Halford.

Turning Harry Chapin's 'Cat's in the Cradle' into a power ballad was a bad idea to begin with; making it sound neither snotty nor particularly sincere only compounds the error.