Several of the Lettered Editions have been signed in blood and housed in metal traycases, in one example designed as a trailer complete with working interior lights.
In recent years they have added the Steve Gerlach library, a project to publish his complete works which have been previously only available in his native Australia.
Another project is the Jonathan Crowley Library which collects and keeps in print the genre work of James A. Moore.
Bloodletting Press is also one of a few small presses that risks putting out new genre authors whose titles having been successful within this context go on to wider mass market publishers, such as Rage, Succulent Prey and The Rutting Season.
In 2009, the Horror Writers Association awarded to Bloodletting Press its Specialty Press Award for their "outstanding design and production techniques" in publishing the "modern masters of the horror field".