It features guest appearances from Insane Clown Posse, Blaze Ya Dead Homie, Anybody Killa, Three 6 Mafia and Legz Diamond.

Freek Show is a horrorcore[2][3] and rap metal[3] album which incorporates elements of other genres into its sound, including techno and pop.

[3] In 2014, Rolling Stone writer Nick Murray described "We Don't Die" as "one of turn-of-the-millenium [sic] rap-metal's best tunes".

It was reissued as a limited edition double vinyl LP on March 18, 2016 through Twiztid's own independent record label Majik Ninja Entertainment.

In December 2020, Twiztid released a limited edition extended play Freek Show: Disturbed & Unheard (A Celebration of 20 Years) via Majik Ninja Entertainment.