The entire lyrical content of the album is written in trochaic octameter, a rare poetic meter most famously used in Edgar Allan Poe's poem "The Raven".

A central motif of the album is the organ riff from "Double Shot (Of My Baby's Love)" by 1960s frat rock band the Swingin' Medallions.

[1] The album is the story of a Colonel Tom Parker-type character called Mr. X, who finds a pair of conjoined twins who have miraculous healing powers.

When he discovers that the twins are far more worldly than he had believed, and therefore less under his control, he plots a vicious rape in which he severs the connection between the two, splitting them forever.

He is accompanied throughout by instrumental music and sung commentary by Laurie Amat, who acts as a "Greek Chorus" (and sings the opening credits on the first track).