An Epiphanic Vomiting of Blood is the third full-length studio album by Gnaw Their Tongues, released on December 15, 2007 by Burning World and Señor Hernandez Records.

This allowed for wider distribution and marked the first time the project garnered critical interest, with comparisons being favorably drawn to the music of Napalm Death and Carcass.

De Jong was approached by Burning World Records, who offered to press his music to vinyl for a limited run of five hundred copies.

[3] An Epiphanic Vomiting of Blood garnered favorable reviews from music critics, primarily for its ability to conjure a bleak and oppressive atmosphere.

noted the number of diverse instruments employed in the compositions and compared the music to that of the Italian progressive rock band Goblin.