[9] In March 2007, The Marrow of a Bone reached number 21 on Billboard's "Top Independent Albums" chart.

[15] Both sites posted information about "premium live" shows, available to those who purchased the album and registered with their product barcode.

[8] As with every Dir En Grey album following Vulgar (2003), the lyrics are solely composed by Kyo, and all music is credited to Dir En Grey wholly, while the online liner notes give some insight into individual writing of songs, such as drummer, Shinya's writing of "Namamekashiki Ansoku, Tamerai ni Hohoemi".

The album opens with a moody,[28] slow-tempoed[17] power ballad,[27] "Conceived Sorrow", but the contrast is immediate with the second track, "Lie Buried with a Vengeance" displaying "thrashy drumming, callous riffing, and barked vocals".

[27] The album continues at a heavier, faster pace with "The Fatal Believer", "Agitated Screams of Maggots", and "Grief".

[23] "Repetition of Hatred" is another heavy track to the album, which gives a strong example of the backing vocal aspect, performed by Kaoru, Toshiya and Die, the latter who commented "It's tough sometimes when you have to sing and play your guitar at the same time.

[32] The original video aired only as a censored clip on Japanese television, due to its "sick and twisted" nature.

The show featured several teaser tracks, making this the debut performance of "Conceived Sorrow",[17] "Agitated Screams of Maggots",[33] "Disabled Complexes",[29] and "The Deeper Vileness".

In March, the band began "Tour 07 The Marrow of a Bone",[34] thoroughly covering much of Japan and ending in the beginning of May.

This tour introduced set-lists containing most of the tracks from The Marrow of a Bone, and was the first time many of the songs had been performed publicly.

[34] The short set-lists, due to their opening position, usually consisted of new material, giving the first performances of several songs in the United States.

The European tour, still supporting the album,[37] including several festival appearances, brought Dir En Grey through the United Kingdom, Sweden, Denmark, Germany, Finland, and Poland.

Reviews by Apeshit,[24] Billboard.com[46] and About.com[47] described it as Dir En Grey's best album to date, and a definite progression from their last effort, Withering to Death, which was also met by underground critical acclaim.