The first 1,000 records issued were enclosed with a card calendar with color photos of a little girl on a bed. Another pressing of 1,000 copies was recut with false track markers (the "bands" visible on a vinyl disc) to give it the appearance of having sixteen tracks all of exactly equal length. The single "United", which had garnered some popularity due to its relatively accessible style, was included on the album sped up to last sixteen seconds from its original length of just over four minutes.
Pitchfork described the album as "a nauseating masterpiece, and an essential recording".[3]AllMusic stated that the album "is nearly as harsh and uncompromising as The Second Annual Report. While both albums are a mixture of live and studio material, D.o.A is much more stylistically varied -- rather than focusing on multiple versions of the same pieces (plus a 20-minute film score), each of the 13 tracks is distinct, ranging from captured conversations to thoroughly composed creations."[1]