The new album follows Chokehold's half a dozen EPs and two prior full-lengths, Prison of Hope (1993) and Content with Dying (1995). The cover art for With This Thread I Hold On (seen below) features images of pharmaceutical drugs, a crucifix, a television, among other symbols. I ask Chris if that visual concept represents the overall lyrical direction of the new record. "For the most part, yes, it does represent many topics on the record, but also the overall theme of the album in general.