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Telepathic Surgery began life as a concept album, the band initially set out to create a thirty minute sound collage. The plan was later scrapped; however, the remnants of this original idea are evident within the album's loose, meandering structure and the epic "Hell's Angel's Cracker Factory". The album is named after a line from the Flaming Lips song "Chrome Plated Suicide".
"Chrome Plated Suicide" stands out as one of the group's most accomplished early recordings, possibly due to being based on Guns N' Roses' critically acclaimed "Sweet Child o' Mine". Sub Pop asked the group to record "Drug Machine in Heaven" for their 'single of the month' series. It was retitled as "Drug Machine" and is the group's first official single. The 'A-side' was backed with "Strychnine/What's So Funny (About Peace, Love and Understanding)" a cover of "Strychnine" by The Sonics and "(What's So Funny 'Bout) Peace, Love, and Understanding" by Brinsley Schwarz, but based on the Elvis Costello and the Attractions cover version.
Similar to many albums of its time, the CD release of Telepathic Surgery had a track listing differing from its LP release due to the time restraints of a single vinyl LP. Extra tracks on CD versions were "Fry Up" and "Hell's Angel's Cracker Factory" which are included in-between "Miracle on 42nd Street and "U.F.O. Story".
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