[5] Pitchfork's Grayson Haver Currin said the album "often finds the trio at their finest, delighting in their instrumental ideas like they’re dancing" and stated "Though the Necks occasionally slip into predictability across this session, Vertigo epitomizes their career-long unpredictability, or their ability to start at one point and arrive somewhere entirely unexpected.

For all their passages through sustained hums, tinkling waves, jittery guitars, and unfathomable bass, their only destinations are yet more points of departure"[7] Thom Jurek reviewed the album for Allmusic explaining "Vertigo is a dark, brooding, sometimes dissonant -- and occasionally explosive -- outing.

[8] Spin reviewer Colin Joyce commented that "There’s anxiety and ecstasy in equal measure across the single 44-minute track, piano parts that repeat and intersect with the heartbeat throbbing basslines the cicada roars of cymbal rolls.

These are the parts that should, in theory, coalesce into shapes and patterns that feel familiar, but the Necks are true trance soul rebels, dizzy abstractionists bent on meditative delirium — the sort of frazzled centered headspace you settle into after sitting and thinking for far too long.

Necks’ latest outing, Vertigo, posits that a 40-plus minute track can still seem lean, despite an array of the composition’s sections unloosing stuff as unrelated as sci-fi whirring and a batch of key-plunking that sounds like it might emanate from underwater".