He is the founder and artistic director of a film and theater company in New York City, International WOW, and has contributed as a journalist to Rolling Stone, The Daily Beast, NowThis, AJ+ and Huffington Post.

Beginning in 1994, Fox trained with Anne Bogart, and SITI Company members Ellen Lauren, Will Bond, Stephen Webber and Barney O’Hanlon in Viewpoints, Suzuki and Composition.

(1996), This is Not the Ramakian (1997), Stairway to the Stars (1999), HyperReal America (2001), The Bomb (2002),[4] Orphan on God's Highway (2002), Death of Nations Parts 1-4 (2003-6), The Comfort and Safety of Your Own Home (2004),[5]The Expense of Spirit (2004),[6] Limitless Joy (2005), Surrender (2008),[7] and Solutions Grassroots (2014).

The New York Times has hailed him as “one of the most adventurous impresarios of the New York avant-garde”[8] and Time Out NY called him “one of downtown’s most audacious auteurs,” citing his “brilliantly resourceful mastery of stagecraft.” In addition, Fox has participated as an actor, director, designer and writer in international theater collaboration projects in Japan, Thailand, the Philippines and Germany.

He created Heimwehen, Death of Nations Part V (2006) with Frank Raddatz, the former dramaturg of Heiner Muller, for the Forum Freies Theatre in Düsseldorf.

In 2008, Fox directed his first narrative feature film, Memorial Day, an examination of American party culture, the Iraq War and torture which was executive produced by Jim McKay and Michael Stipe of R.E.M.

Gasland premiered at the Sundance Film Festival in competition, winning the critics poll and the Special Jury Prize for Documentary.

[10] On October 1, 2015, Fox's mini-documentary GasWork, which detailed hazardous working conditions in the hydraulic fracturing oil and gas drilling industry, debuted on All In with Chris Hayes.

In 2017, he produced, co-directed and co-wrote AWAKE, A DREAM FROM STANDING ROCK with indigenous filmmakers Doug Good Feather and Myron Dewey, which premiered at the Tribeca Film Festival on Earth Day, launched on Netflix and toured around the world.

In 2018, Fox created The Truth Has Changed, a solo performance, book and film about misinformation, propaganda and psycho-graphic targeting aimed at manipulating our current media and political ecosystem.

Guests on the program included Cory Bush, Marc Ribot, Kim Stanley Robinson, Preston Reed, Jamie Margolin, Rebekah Jones among others.

The performances received rave reviews and support from notable people such as Bernie Sanders, Steven Donziger and Sean Lennon[16] Fox is known for his opposition of hydraulic fracturing, or fracking.

In 2016, he worked as a surrogate for Senator Bernie Sanders as the Creative Director for Our Revolution and as a member of the campaign's NY Platform Committee.

He worked alongside Bill McKibben, Nina Turner, Ben Jealous, Jane Kleeb and Dr. Cornel West to pass an amendment to the Democratic Platform which addressed carbon pricing, the phasing out of natural gas power plants, community involvement, and adopting the Keystone XL climate standard for all federal energy projects.

He created the film The Edge of Nature documenting his experiences healing from the disease while living in a one room cabin in the woods of Pennsylvania.