This CD at first didn't impress me as much as make yourself sick did. However, once I realized that the whole CD tells one continuous story (not as easy as you think when the songs are shuffled on an iPod) everything comes together. The disc means so much more. The lyrics aren't always obvious, and you're constantly discovering new parts to the story you didn't notice the first time round. Listening to the doctor speak at the beginning and end of the disc also sheds a more obvious light on the sometimes abstract ramblings of the patient. All in all, well worth the $10 I got the disc for at warped. It's worth it for anyone picking it up here too, just make sure you give it more than one listen before you judge.