The album's lyrics were written by John Petrucci and Mike Portnoy, and all except one concern personal experiences about disturbing or difficult moments of their lives.
Lirik album ditulis oleh John Petrucci dan Mike Portnoy, dan semua lagu, (kecuali satu lagu) berkisah tentang pengalaman pribadi saat-saat meresahkan atau sulit dalam hidup mereka.