[citation needed] Both this album and Effigy of the Forgotten have been re-released by Roadrunner Records as part of the Two from the Vault series.

Before 2013's Pinnacle of Bedlam, this was the only full-length album by Suffocation not to feature Mike Smith as a drummer.

Pierced From Within has been called Suffocation's "watershed moment", and guitarist Terrance Hobbs has cited the album as his favorite the band has done.

The album's musical style has been described as "fast, intricately technical, immaculately heavy."

The original blue album cover was correctly printed on some of the band's merchandise, such as T-shirts.