It's the gruesome combination of intense black metal and harsh noise that makes this album such a hard pill to swallow. After a wall-of-noise, named 'Intro' we're treated to highly experimental songs with caustic drums and mordant guitars. I don't really know if there are blast beats used and I can't actually put my finger on any of the other instruments because of the sharp and biting sound. Even the vocals remind me more of some power electronics and noise acts than black metal.
There's two more non-metal tracks, 'Interlude' and 'Outro' but these are in no way less intense and noisy that the ones with (presumably) guitars and drums. The whole is blatantly sick and rages on with an fury I've rarely encountered in a band. Maybe with a different (or 'any') level of production this could be listenable, but even then I think it would be just too much for some people. This is industrial blackened noise from a very intense level, created only to torture.
So consider this review a warning. If you're looking for the most extreme stuff on the planet you should give Tetragrammacide a change. In that case you wouldn't be disappointed. However, if you are not experienced in the deepest cesspool of the blackened underground, it might be better to walk away and pretent that all of this never happened. I, on the other hand, am going to make this a reference for new extremes...