Lamentations features Opeth playing the album Damnation in its entirety (although not in proper order), followed by some of the band's songs from Blackwater Park and Deliverance. The only song that was played from albums prior to Blackwater Park was "Demon of the Fall" (from the album My Arms, Your Hearse) as an encore song, but the song was not filmed for the DVD due to licensing issues with previous record labels prevented this from happening at the time of the disc's release. 
The DVD also includes a documentary on the making of both Damnation and Deliverance because both albums were recorded at the same time.
This was the first Opeth release with Per Wiberg, although he officially gained membership not until Ghost Reveries.
A 2-disc CD version of the live recording was released in 2006 in a collector's edition slipcase.
The recording is generally regarded as having exceptionally clear and beautiful sound and visual quality, although Allmusic reviewer John Serba complained of the ubiquity of shots from what he termed the "Åkerfeldt Orifice Cam", showing close-ups of the singer's mouth and nose in excruciating detail.