Seriously, i cant believe anyone would give this album such a low score. I can only assume these people heard "No-one Knows", and thought all QOTSA was from the same mould. This is, in my opinion, the best and most consistent QOTSA album. Every tune has the weird, grungey, dirty feel which i so love about there music. It is almost unclassifiable, and all the better for it. This is'nt Bon Jovi, this is a challenging ride which is a very rewarding experience. Listen to it a few times and the subtle groove which cuts through the entire album comes to the fore. Stand out tracks are "Sick, sick, sick" and "Make it Witchu", but every track is a gem. Buy it and make your own mind up.