Released on September 2, 2022, the album is widely viewed as a return to blistering thrash and speed metal form .

Lyrical content leans into grim, dystopian history—such as the Black Death and the Chernobyl disaster—mixed with military machismo and personal struggles . Deluxe Edition Contents

While Dave Mustaine’s vocals show expected signs of aging, reviewers note that his signature "snarling" delivery remains effective and matches the aggressive tone of the record .

The offers significant physical and digital extras compared to the standard 12-track release: THE SICK THE DYING... AND THE DEAD! - Megadeth