In 1992, Tourniquet released what is considered their most technical and dark album, "Pathogenic Ocular Dissonance". Vocalist Guy Ritter had grown increasingly dissatisfied with the band's musical direction, and didn't care for the more aggressive material the rest of the band was writing. He subsequently left the band after the recording of "Pathogenic Ocular Dissonance" due to these musical differences. Upon its release, "Pathogenic Ocular Dissonance" quickly became one of the most popular of the band's albums among Tourniquet fans. It went on to be voted Favorite Album of the 1990s by the readers of "HM Magazine". As with the previous album, Metal Blade Records released "Pathogenic Ocular Dissonance" to the general market, with Intense Records marketing it to Christian retail. Luke Easter replaced Ritter, joining Tourniquet for the "Pathogenic Ocular Dissonance" tour. Prior to this Tourniquet was scheduled to play the Milwaukee Metalfest in 1993, but professed satanist Glen Benton of Deicide, the festival headliner, refused to play with a Christian band. The festival was forced to cancel Tourniquet's performance. This brought more publicity and notoriety to Tourniquet. That same year, Intense Records released "Intense Live Series, Vol. 2", which includes Tourniquet's cover of the Trouble song "The Tempter". It was recorded between Ritter's departure and Luke Easter joining the band with the melodic vocals being handled by Bloodgood vocalist, Les Carlsen.