Esophagalgia Anal Shake's self-titled album is a unique and intense experience. The band's blend of metal, punk and grindcore creates a raw and aggressive sound that is not for the faint of heart. The album's 10 tracks are all short and to the point, with each song delivering a punch to the gut. The lyrics are often graphic and disturbing, but they are delivered with conviction by the band's vocalist. The guitar work is fast and furious, with a lot of dissonant chords and atonal solos. The rhythm section provides a solid foundation for the chaos above them. Esophagalgia Anal Shake's debut album is not for everyone, but those who appreciate extreme music will find a lot to enjoy here.