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For the most part, the album is made up of layers uponlayers of processed vocal parts arranged in either harmony or dissonance such as "Vokuro" and "Oll Birtan", respectively. Some, such as "Show Me Forgiveness" are simple acapella, the aforementioned sounding like a vocal cut from Debut minus the music. Another echo of Bjork days gone by is "Desired Constellation", a slow trancy pulse underpinning her distinct vocals. "Where is the Line", "Who Is It" and "Triumph of a Heart" are a bit grimier with a semi-urban twist, the latter a fantastically funky beatbox number with an outstanding introduction, the closest moment to a pop song appearing on Medulla.
Although traditional instruments and breaks have been removed from this album, Medulla is no great departurefor Bjork but in a sense it is radically different from any of her previous work. Some will love it, some hate it, and some just wont be sure what to think. --David Trueman