In the book England's Hidden Reverse, author David Keenan describes the album as one of NWW's "most powerful records" but principal member Steven Stapleton advised Keenan that the making of Spiral Insana was particularly difficult.

"[2] The album features a contribution by Organum's principal member David Jackman.

During the mid-1980s, Stapleton and Jackman worked together a number of times, with Nurse With Wound and Organum splitting an LP on United Dairies and Stapleton appearing on some Organum recordings including "Submission", "Vacant Lights" and "Crux".

[3] The album was issued on LP by Torso in 1986 and on cassette by United Dairies (Stapleton's own label) in 1987.

This version restored the original 1986 artwork whilst retaining the extended 1997 CD track listing.