Inside Out signed a worldwide distribution contract with the German music company SPV and branched out with the U.S. division InsideOut US, based in Pittsburgh, Pennsylvania.

In 2009, SPV had to file for bankruptcy,[2] and Inside Out partnered up with Century Media Records, which had secured a worldwide distribution contract with EMI.

[3] Several important bands of the new school of progressive rock are signed to Inside Out, including Riverside, Haken, Pain of Salvation, Spock's Beard, The Safety Fire, The Flower Kings and Enchant.

In addition, the label established links to other relevant bands in the prog scene, issuing the solo albums of Dream Theater vocalist James LaBrie and a selection of Mike Portnoy's side projects.

For some time, Inside Out also published digitally reworked re-releases of albums from the Krautrock era (for example, from the band Kraan) under the sub-label Revisited Records.