First off, just take a minute to fully soak in that cover art. Go ahead, I can wait...
I fucking love albums like this. FUCKING LOVE 'EM. You guys get it? The poorly-drawn dude looking through the blinds? He's having a "PARANOID DELUSION". Get it? The name of the album. It's literally being acted out on the cover. Literally. If you're still having trouble understanding, just hit me up at illogicalcontraption(at)yahoo(dot)com and I'll try and walk you through it.
Pure ham-fisted Long Island MOSH, featuring some Bros that were in Suffocation (OG guitarist Doug Cerrito and mid-90's drummer Doug Bohn, specifically). Has anyone used the term "Proto-Wigger Slam" yet? Like in that clumsy, crunchy, totally-straight-faced meathead, Internal Bleeding/Pyrexia kinda way, you know? Is that a "thing"?
Whatever. The riffs here are surprisingly dissonant and tasty, Bohn's drum work is top-notch, and the entire package is actually probably alot better than you are expecting it to be. But man, the singer. Oh man. Basically, this is a band doing a really good Suffocation impersonation with a really, really, really drunk and semi-laryngitic Tom Warrior on vocals. If you can't hang with this then you don't have a soul. Listen to it all weekend while you huff paint in your parents' basement and take in that Married... With Children marathon.