Following initial reactions to the album, "Dr. Octagonecologyst" continued to earn praise from contemporary writers and music critics. In the "Virgin Encyclopedia of Popular Music", the album received a rating of four out of five stars. In "The New Rolling Stone Album Guide", Peter Relic described it as a "slab of mondo bizzaro brilliance... totally unlike anything else and totally right". "PopMatters" columnist Michael Frauenhofer called it "a landmark album of dope beats and mind-bending experimental flows." Steve Huey of AllMusic wrote that the album "remains as startling and original as the day it was released." In 2017, "Pitchfork" reviewer Nate Patrin wrote that ""Dr. Octagonecologyst" still feels as much out of its time as it does out of its mind."