American Standard begins with a shock. Vocalist Michael Berdan stands alone, screaming, “A part of me, but it can’t be me. Oh God, it can’t.” It all starts with an admission. Beneath the harrowing screams, there’s the pain of bulimia nervosa. There’s the pain of a sickness that is as physical as it is psychological. This is a kind of emergence.

With every movement of American Standard, Uniform peels off a new layer and tells the story inside of the one that came before it. The lyrics sink down into the core of the innermost self, the small human being crushed in the grip of sickness. To help peel away this narrative of eating disorders, self-hatred, delusion, mania, and ultimate discovery, Berdan sought assistance from a towering pair of outsider literary figures. Alongside B.R. Yeager (author of the modern cult-classic Negative Space) and Maggie Siebert (the mind behind the contemporary body horror masterpiece Bonding), the three writers eviscerate the personal material to present a portrait of mental and physical illness as vividly terrifying as anything in the present-day canon. The result is an acute articulation of a state beyond simple agony, capturing the thrilling transcendence and deliverance that sickness can bring in the process.

American Standard is surely Uniform’s most thematically accomplished and musically self assured album to date. Sections spiral and explode. Motifs drift off into obscurity before reasserting themselves with new power. Genres collide and burst open, forming something idiosyncratic and new. There’s a grandeur, due in part to the addition of Interpol bassist Brad Truax alongside the percussive push and pull of returning drummer Michael Sharp and longtime touring drummer Michael Bloom, marking his Uniform recorded debut here. However, this magnificence is most clearly attributable to the scale and power of guitarist and founder Ben Greenberg’s arrangements, matching ever elegantly to the intense lyrical subject matter.

Without a shred of doubt, American Standard is a work of art, agonizing in its honesty and relentless in its pursuit of sonic transcendence. It is hideous. It is beautiful. It is necessary.