Meltzer also dabbled in art, including "detourned" comic books in the style of the situationists, which had various objects added to the pages.
Meltzer, along with Pearlman and several other students, earned money on the side as booking agents for the big musical acts that came to Stony Brook in the 1960s.
Following that, the two started writing lyrics and arranging gigs for a musical group they were promoting, Soft White Underbelly, later renamed Blue Öyster Cult (BÖC).
During the punk rock era, he formed a band called VOM (short for vomit) and released a four-song, 7-inch EP that included "Electrocute Your Cock".
Clips were filmed in Casey's apartment; in Malibu, California; at the Pike in Long Beach; and at a beach-side sewage treatment plant in El Segundo, with future Mau Maus guitarist Mike R. Livingston pantomiming rhythm guitar along with Gregg Turner and bonze blayk (known at that time as Kevin Saunders), who were then organizing the Angry Samoans with Mike Saunders, the drummer for VOM.
In 2012, Meltzer contributed spoken-word parts to Spielgusher, a musical collaboration with bassist Mike Watt, drummer Yuko Araki and guitarist Hirotaka Shimizu.