As Dom said, it's a 5 due to it being a masterpiece of the genre. Seriously though, this is one of the heaviest, filthiest, and ugliest albums fucking ever. Mike's puke filled screams, the nonsensical structures of certain songs, the dense walls of feedback and riffage, and Joey's crazy drumming. The atmosphere paints pictures of the slummy streets of New Orleans, which is probably what they were going for. Noise and atmosphere aside, they are actually pretty damn good musicians as well. Those riffs, and especially Joey's drumming stand out the most. As one person put it, the band sounds like a crossbreed of Black Flag and Black Sabbath. In conclusion, possibly EHG's masterpiece, and one of the best in the genre.