Sahm began playing drums at a young age after being inspired by his father's music and by KISS,[1] with his first appearance on record being Where the Pyramid Meets the Eye: A Tribute To Roky Erickson, in 1990.

Kirkwood enlisted Sahm and his ex-Pariah bandmate, guitarist Kyle Ellison, as well as ex-Bob Mould bassist Andrew Duplantis, to form the Royal Neanderthal Orchestra.

[3] Subsequently, Sahm has supplied drums on the albums Lollipop (in 2011) and Rat Farm (in 2013), was interviewed for the 2012 book, Too High to Die: Meet the Meat Puppets,[4] and has toured the world with the band, including shows with Stone Temple Pilots, Sonic Youth, Butthole Surfers, Soundgarden, Mudhoney, Dave Grohl,[5] Soul Asylum, Grant Hart, and Mike Watt.

Sahm has also performed with the Meat Puppets on The Late Late Show with Craig Kilborn[6] and The Bing Lounge,[7] has performed as part of a KISS tribute band called SSIK (which features Dangerous Toys singer Jason McMaster),[8] and has released two solo albums to date (2006's Good Thoughts Are Better Than Laxatives and 2011's Knock Yourself Out).

2 was released, which included such songs as "She's About a Mover", arranged and produced by Eric Van Den Brink (courtesy of Nick Vernier Band).