[4] The album includes three adaptations of Bernard Herrmann's score to the original by Danny Elfman.

The rest of the album is made up of songs by rock, metal, country, trip hop, and drum and bass artists.

Five songs sample the actual film: "Once Is Not Enough" repeats a number of Norman Bates and Marion Crane's lines from the 1998 version, and "Honeymoon Suite", "Madhouse", "All of My Life", and "In the End" all sample Bernard Herrmann's score to the original film.

Only two of the songs were already released by their respective artists at the time of the album's release: Rob Zombie's "Living Dead Girl" on his album Hellbilly Deluxe, and Girls Against Boys' "Psycho Future" on their album Freak*on*ica (both also Geffen releases).

"Screaming" was later released by Pet Shop Boys as a B-side to their 1999 single "I Don't Know What You Want But I Can't Give It Anymore", and "Fly" was later included on Lamb's 1999 album Fear of Fours.