"Drukqs" contains tracks dating back "seven or eight years", according to James, though most of the album was relatively new. The LP is a double album featuring roughly two styles: rapid, meticulously-programmed tracks utilizing exaggerated drum 'n' bass breakbeats, and classical piano pieces made using computer-controlled instruments such as a modified Yamaha Disklavier and several MIDI-controlled, solenoid-based drum mechanisms made by James. "NME" noted that the album moves through techno, drum 'n' bass, and early-90s rave, while the piano interludes were compared to the work of Erik Satie. "Pitchfork" also noted "several purely electro-acoustic excursions".