"[citation needed] According to Greg Pratt of Exclaim, the album continues in the style As Kill, and contains "huge death metal songs".

Greg Prato of AllMusic awarded the album 3.5 stars out of 5, stating, "All the expected elements of a solid Cannibal Corpse recording are present -- metronome-like precision drumming, razor-sharp riffing, guttural growls akin to a caveman, and dark lyrics.

Prato concluded that the album "shows that 11 studio releases into their career, Cannibal Corpse remain one gnarly group of metalheads.

Guitarists Rob Barrett and Pat O'Brien shred through heavy riffs with supersonic speed, while bassist Alex Webster uses sporadic tempos, giving tracks like 'A Cauldron Of Hate' a menacing atmosphere.

Falzon concluded, "Cannibal Corpse have remained consistent with their standard themes of death and mutilation, and the imagery of disembowelment continues with 'Beheading And Burning,' 'Shatter Their Bones' and the severely gruesome 'Skewered From Ear To Eye.

'"[18] Mark Fisher of Metal Forces scored the album an 8.5/10, commenting, "There is something about the down-tuned, bent sound of the guitars as they spiral out of control, while the rhythm section holds the song together, that is entirely addictive.