The album features classical arrangements, as well as melodies and beats composed of sounds from mundane objects, such as factory machines and trains.
Notably, some of the song lyrics on the album are substantially different from the songs in the film, the most pronounced example being "Scatterheart". The album omits the vocals of actors David Morse, Cara Seymour and Vladica Kostic. Some lyrics were rewritten, perhaps to prevent spoiling crucial plot details, since the soundtrack was released in stores before the movie opened in theaters, or to make the record flow better as a stand-alone album. In particular, on the song "I've Seen It All", Thom Yorke performs the words sung by Peter Stormare in the film. In addition, the track "My Favourite Things" does not appear on the album at all. The track "I've Seen It All" was nominated for an Academy Award for Best Original Song. For the track, Björk made a "webeo" with director Floria Sigismondi that premiered on September 1, 2000 on MTV.com. It used a shorter version of the song that the singer recorded specifically for the webeo.
The album was re-released in 2006 as a DualDisc including new DTS 24/96 5.1-channel surround sound mixes. The DualDisc also formed part of the (____surrounded): box set.