"Dr. Octagonecologyst" introduces the character of Dr. Octagon, a homicidal, extraterrestrial, time-traveling gynecologist and surgeon. The album's distinctive sound crosses genres such as psychedelic music, trip hop, old school hip hop, horrorcore, and electronic music. Thornton's lyrics are often abstract, absurd, and avant-garde, using surrealism, non-sequiturs, hallucinatory psychedelia, and horror and science-fiction imagery, as well as sexual humor, absurdist/surrealistic humor, and juvenile humor. The unique sound and lyrics of "Dr. Octagonecologyst" helped revitalize alternative and underground hip hop, gaining more attention than any contemporary independent hip hop album "in quite a while".