I always thought that album balanced raw violence with melody about as well as any band in the genre. The initial impression is always one of overwhelming harshness, but the twists and turns of melody and the way itslides into and out of dissonant passages is astonishingly subtle in a way. Unfortunately, it didn't come out of name brand scene and it got released by a notorious rip off label, so Changes never really got it's due. It isn't helped by the fact that there's nothing that is obviously like any of the genre's better known acts, so it was always hard to play the, "If you like ____, you'll probably like Miasma" card that makes word of mouth work.