AllMusic stated that the album's sound is characterized by a "relentlessly bitter, broken-down mood. The intros to many tracks on the album incorporate
audio feedback. Incorporating elements of
blues, the album's guitar work has been described as "slow [and] sludgy," drawing comparisons to
Black Sabbath. Chris Chantler of
Metal Hammer described the instrumentation as "
blackened blues riffing." The album also contains elements of
southern rock. The album's
riffs have been described as "more distinguished and in some cases even catch[ier]" than on the band's previous album. The vocal performance of
Mike IX Williams has been described as "indecipherable ranting," and has also been characterized as a "broken glass
gargle." According to Alex Deller of
Metal Hammer,
Take as Needed for Pain "sounds ramped up, kicked down and bugged out, towering over its predecessor in terms of sound and craft." The album's lyrics pertain to "true-life
squalor and struggle." ==Reception==