[1] Keeping consistent with their recent work (since As Blood Rains from the Sky...), the band's unique sound is created through an amalgamation of melodic guitar rhythmics built upon a foundation of very heavy, very familiar, highly brutal drumwork and vocals.

Like other melodic death metal bands, such as Grave, Arch Enemy and (early) Entombed, Fleshcrawl's guitar work for this album is laden with Swedish death metal-style distortion, especially in the riffing, which remains comparable to their earlier releases in that it utilizes mid-to-high range tones and moderate-to-rapid tempos, accented by occasional, moderately-technical guitar solos, which tend to be somewhat longer and more rhythmic than those in their earlier work.

Diverging from other contemporary melodic death metal releases, the overall intensity of the album is well enhanced by the use of brutal/technical death metal-style blast beats incorporated into highly prominent, yet not obtrusive, very rapid double bass drum on the order of such bands as Kataklysm and Krisiun along with somewhat guttural, abrasive vocals, somewhat reminiscent of such bands as Six Feet Under and Cannibal Corpse.

[2] Like other Fleshcrawl albums and death metal as a whole, the lyrical themes cover such gory, death metal-esque subjects as insanity ("Structures of Death", "Written in Blood"), evisceration ("Into the Crypts of Scattered Souls", "Nothing but Flesh Remains"), the Grim Reaper/Harvester of Souls ("Anthem of Death"), demons/demonic possession ("Rest in Pain", "A Spirit Dressed in Black"), mortality ("About Mortality"), and doomsday/the apocalypse ("War of the Dead").

Track 4, "Written in Blood", includes the lines, "Forever more the soulskinner is back", referencing to the band's sixth studio album, Soulskinner, and track 6, "Fleshcult", which describes the mindset of death metal and the experience of the band through their 20-year history through a collection of synecdochal allusions to their previous work, including: