[4] The Outpatients were also part of the Western Mass hardcore scene and shared the stage with bands like Hüsker Dü, Battalion of Saints, Crucifix, The FU's and GBH.

[18][19] More recently Helland and his bandmates played together in 2018 at Fenway Park in Boston, Massachusetts when the other half of Deep Wound, J Mascis and Lou Barlow's band Dinosaur jr were opening for the Foo Fighters.

"Helland’s pagan-organic lines recall the gothic style of Aubrey Beardsley, as well as those of punk pen wielders like Savage Pencil, Nick Blinko, and Raymond Pettibon.

Intended as a multicultural mashup of the classic Ramones albums Rocket to Russia and End of the Century, his acoustic (guitar) has the propulsive drive of punk rock, but his riffs resonate with sounds ranging from Krautrock to flamenco and spaghetti western pastiche.

[23] Helland has released 6 videos from the album including the title track, 'Never End the Rocket Century', in which he donned a space suit and walked around Los Angeles.

[24] In January 2019 Helland and Stephenson's cabaret rock duo Frenchy and the Punk released a video for the song Lanky Bell Bottoms from their forth-coming album Hooray Beret.