Simply put, Zeichnungen des Patienten O.T. sounds like it was recorded by psychotics in a derelict asylum — expect a lot of screaming, scraping, metallic sounds, rhythms that sound more primal and scary than anything, lyrics which are like nightmares (one of them literally is the recollection of a dream Blixa Bargeld had)... (though this is never too chaotic, and nowhere near a "noise" record — noise doesn't convey emotions like that). "Vanadium-I-Ching" felt like a train rolling on unsettling rails in an underground complex. It led to the subterranean wasteland of "Engel Der Vernichtung", where a monstrous ritual was taking place, followed by the inhuman stomp of "Abfackeln". The thrumming tension of "Neun Arme" reveled on the menace of the threat, as did the static electrical charges of "Merle". In the meantime "Zeichnungen Des Patienten OT" had even more of a psychological edge, at first neurotic angst, then a bestial rage. "Styropor" found the common link between the ancient ritual, the neurotic complex