Ain't it Dead Yet?, a recording of the group performing in Toronto, Ontario, Canada, was released on video in 1989 and CD in 1991.

[4] Nivek Ogre, the group's vocalist and songwriter, said of the suicides: It seemed very scary to me that all these kids had such a bleak prospect on their future.

The song "The Mourn" is based on the Japanese extreme horror movie Flower of Flesh and Blood from the Guinea Pig film series.

Perhaps more than other any place in Skinny Puppy's discography, Ogre's vocals work like spoken-word stream-of-conscious dementia, with more emphasis on evil tones than on any relation to their music".

[11] People magazine said listening to the album was "like stepping into a nightmare being experienced by the Phantom of the Opera" and concluded that the band was "too garish for extended exposure but, in small doses, they are extremely powerful".

[13] Frances Litman from the Times Colonist thought the album was tamer than the band's previous work and only recommended it to club-goers.