 In addition to the album's credits, the booklet features fictional entries written by a mentally unstable person.Through the advice of a therapist, the man writes of his breakup and heartbreak, which leads him to begin showing homicidal tendencies.Allmusic reviewer David Jeffries gave the album 3.5 out of 5, saying that ""'Heartbroken & Homicidal" is not rap-rock duo Twiztid’s entry into the emo craze ... [but rather] just straight-up mayhem and disgust."