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 fifteen tracks of exactly equal length and a short 16th track. The official TG discography called this pressing the "Structuralist Spirals" edition. The single "United", which had garnered some popularity due to its relatively accessible style, was included on the album on fast forward, reducing its running time from 4:03 to 16 seconds. Later reissues of the Album omit the inset of the little girl and the card calendar due to its visual closeness to child pornography by modern standards.
Pitchfork described the album as "a nauseating masterpiece, and an essential recording".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."