You can trust Louder
What is there left to do when you’ve spent most of your life hurling turds into the whirring spokes of popular music?
For Al Jourgensen, Ministry mastermind and one of heavy music’s best-loved eccentrics, the answer appears to be ‘Like before, but more, more, more!’ Surgical Meth Machine is a flagrantly unsavoury and musically extreme eruption of bile, belligerence and the blackest of humour. It makes Ministry’s most brutal moments sound like Taylor Swift ballads, as Mad Uncle Al thrusts the sequenced kick drums way into the red. It is also very, very funny, as our hero assails anyone and everyone, eyeballs swivelling in some drug-ruined state of euphoric glee, with profanity and gibberish in plentiful and equal supply.
There’s a cover of Devo’s Gates Of Steel that sounds like Andrew WK after an amphetamine enema and a simply deranged, five-minute explosion of glitchy beats, scabrous noise and verbal diarrhoea called, with typical honesty, Unlistenable.
This is the fastest, loudest, snottiest and most supremely insane thing that Al Jourgensen has ever done. He still doesn’t give a fuck and the results are ridiculous, terrifying and quite brilliant.
Sign up below to get the latest from Metal Hammer, plus exclusive special offers, direct to your inbox!

Dom Lawson began his inauspicious career as a music journalist in 1999. He wrote for Kerrang! for seven years, before moving to Metal Hammer and Prog Magazine in 2007. His primary interests are heavy metal, progressive rock, coffee, snooker and despair. He is politically homeless and has an excellent beard.
