Well, first of all, if you're thinking of buying this, LISTEN TO THE SAMPLES. If you've got a lot of Manson's other stuff and want more of the same, this isn't for you.
That's not to say it's not a good album, it's just entirely different from the rest of his stuff.
At first I was a little thrown by just how bizarre some of these tracks are. 'May Cause Discoloration of the Urine or Feces', for example, is a four minute phone conversation about medicine.
But on the whole, I do like it. The highlights for me are probably Scabs, Guns and Peanut Butter, Kiddie Grinder, Sweet Dreams, White Trash and Rock 'N' Roll Nigger.
If you do get it, give it a few tries before judging it. It's grown on me after listening to it about three times.
Myself, I reckon it's decent cd, but it certainly won't be to everybody's tastes, and isn't like Manson's norm, which is why you should definitely listen to some samples before buying.