Released on Metal Blade Records in 1990, this album is widely regarded as one of the most influential extreme metal records of its era, helping to shape the sound of the genre. Features the original, graphic cover art by Vincent Locke which, along with the extreme nature of the lyrics (e.g., "Shredded Humans", "A Skull Full of Maggots"), led to the album being banned in several countries upon its initial release. The picture disc format transforms the infamous cover into a premium, visually striking collector's item, perfect for dedicated fans of the band's legacy.