It features a single 40-minute track, telling a story in the distant future, when human civilization is about to end.

The album, which features Opeth frontman Mikael Åkerfeldt, received substantial critical acclaim, and is considered by most fans to be Edge of Sanity's finest achievement.

[4] The album's single song tells the story of a world where humans no longer can bear children.

They find a way to neutralize her power (by blinding her) and then place her in the same preservative tank of "crimson fluid" that the elders were kept in.

The digital release of the album uses the When All is Said remix/edit and splits it differently, causing some movement times to shift out of alignment.