Gatherer has the whole Pianos Become the Teeth/Touche Amore thing down to a science. They pull it off well and if you're into that sort of style then you'll have another band to add to your library. Though there are some aspects of their own making, like the melodic vocals at the end of "I Have Seen Mountains" or the beginning of "108" and various group vocal parts (see "Campfires").
The production is well balanced and highlights each aspect of the music well. The lyrics seem mostly personal in nature, though, 90's hardcore fans will find it ironic that they have songs called "108" and "Death Bed" on the same release.