The band toured America opening up for Otep in July and August then in October toured the UK with fellow Canadian act Raggedy Angry. In November, they continued touring America on a co-headlining run with Black Veil Brides, along with Dommin and Aural Vampire as supporting acts. The band also made a lineup change by adding Nate Manor, formally of Wednesday 13, to replace O.E on bass. The tour's setlist featured five to six tracks off of "Pins and Needles", with "Always" and "Midnight" rotating during different shows. 2010 also saw the launch of the band's new website TheBirthdayMassacre.com created by Owen and the group.