This sounds like a live album, but it's not, it has overdubbing a pseudo-crowd that shout things like 'You suck' and he talks dirty to them, example: 'Eat shit you fat bastards'.
The music is gothic, doom with punk and hardcore influences. It has everything, slow and obscure parts (like organ, synthesizers, church bells) emotional moments and fast aggressive headbang parts.
Peter Steele is the king of sarcasm, I like his dark humor very much, but he also has very serious lyrics about lost love, depression, anger and aggression, or a combination of being serious and sarcastic.
This album gets me into trance.
9/10