It was released in November 1992 in Europe and March 1993 in the US through Earache Records.

The recordings that would become Sleep's Holy Mountain were originally sent to independent label Earache as a demo.

The label immediately signed the band and released the recordings exactly as they were received.

The songs "Dragonaut" and "Some Grass" are used in the 1997 Harmony Korine film Gummo.

In May 2009, the album was performed live in its entirety as part of the All Tomorrow's Parties-curated Don't Look Back series.