Since its inception, The Birthday Massacre have described the band as an audio-visual project. In a 2009 interview, when asked about why they had started the band, Rainbow stated: "I think more than just being a band, it's a way to sort of incorporate, not just music, but other things. So I think more so than just music, the idea of having a band, and being able to perform, and being able to do artwork, to do music... all these different avenues." Neither Rainbow, Chibi nor Michael Falcore had been in any previous bands and have expressed in multiple interviews that the group formed naturally as a result of spending time together as friends.