Margaret Chardiet, aka Pharmakon, recorded Bestial Burden after having a medical emergency that kept her bedridden for three weeks and left her missing an organ. That experience is reflected in the striking album artwork and the visceral nature of songs like “Body Betrays Itself.” The new album expands on the world she created on last year’s Abandon, blissfully discordant with dark seeping in at every corner. You can stream Bestial Burden now via Pitchfork Advance.

Bestial Burden is out 10/14 via Sacred Bones.