Basic, ballsy grooves and tremolo-picked madness create the rhythm section, to which the cornerstone is the powerful drumming of Bob Beaulac. His blast beats and double bass kicking are not only perfectly timed, but quite crushing as well. Low guttural belches round out the mix. Imagine Cannibal Corpse, if the group could have written more memorable songs during their hay day. Skinless share the same intensity, lyrics laden with cheesy gore elements and a similar sound, however, Skinless write songs with recognizable riffing whereas Cannibal Corpse seemed to blast through every song without doing anything noticeably different. Rather than try to act the part of being more Macabre then they truly are, Skinless acknowledge the humorous elements in their music with a warning to listeners "In a world of ultimate brutality it is important to maintain a sense of humor". And how could you not take songs like "Pool of Stool" and "Tug of War Intestines" with a grain of salt? Eerie, seemingly home-produced soundclips appear before most of the tracks and scare the listener even before the music has a chance to.

Skinless aren't really doing anything new, yet it's to the credit of the band that they are continuing and improving upon a style that has already seen fame and is now slowing dying out. Skinless are a testament to the fact that 'death metal' doesn't have to sound happy enough to play on the radio these days.