The liner notes included references to dissociative anesthesia through ketamine as well as Timothy Leary, "futants", ritual magic, and religious fundamentalism. The band dedicated the album to Bill Hicks (a comedian who the band felt was going in the same direction as them) and said this album to be partly inspired by him. The inside cover displays art featuring a painting of a disabled patient that shows a resemblance to singer Maynard James Keenan and Bill Hicks depicted as a doctor or "healer" with the line, "Another Dead Hero".