After developing a substantial local following the band began touring more widely across the USA. Their Kill, I Oughta demo led to a recording contract with Epic Records (the demo was later repackaged under the title The Beginning Of All Things To End). The title of the band's debut L.D. 50 referred to the pharmacological count for lethal dosages, and was produced by Garth Richardson with executive production from Slipknot percussionist Shawn Crahan. The band's complex, twisted sound was now polished, although no less uncompromising, most notably on the eastern-tinged "Prod" and the mesmerizing "Death Blooms".
Despite largely excellent reviews in the rock press, certain sections chided the band for their similarities to Slipknot (the costumes and use of pseudonyms). Some critics suggested that the band was no more than a calculated attempt to capitalize on Slipknot's success, although in reality the two bands had developed completely independently of each other. All of which resulted in an often-fractious relationship with the media. Despite this the band proved to be a major draw at festivals and a series of successful tours through Europe, the USA and the Far East, and chart success in Australia did much to establish them as contenders in their own right.