They began creating a new album that was supposed to be live. The songs were long, multi-part theatrical epics, with lyrical topics ranging from heartbreak to getting revenge on a cheating lover, and even contemplating suicide. Type O Negative's first album Slow, Deep and Hard incorporated dragging dirge riffs, maniacal punk-metal outbursts, and droning industrial and gothic atmospheres. Slow Deep and Hard and The Origin of the Feces (1991–1992) Shortly after signing to Roadrunner Records in 1991, Type O released their debut album Slow, Deep and Hard. After seeing ads for donating type O-negative blood that read 'Needed: Type-O-Negative.', Pete settled on Type O Negative, reflecting on his tattoo showing the number 0 with minus sign within it originally used for the logo of Subzero. But soon after, he discovered that another metal band uses the name Subzero, forcing Steele to change the name again. Peter Steele left his previous band Carnivore and recruited with childhood friends Sal Abruscato, Josh Silver and Kenny Hickey, formed the band initially called Repulsion before Steele renamed it to Subzero in 1990 after discovering that a grindcore band also uses the name Repulsion. Because of its theme, the band goes by the nickname 'The Drab Four' (in homage to The Beatles' 'Fab Four' moniker). The main lyrical themes of Type O Negative were romance gone bad, depression, and death.

Combining this fact with being a metal band, Black Sabbath has the biggest influence on Type O Negative.

There are numerous songs that have riffs resembling Black Sabbath, while many nonmetal tones and parts sound like that of The Beatles, The Doors, Pink Floyd, Deep Purple, Led Zeppelin or others. Type O Negative incorporates mainly gothic metal and doom metal into their music while some sections in certain songs utilize different genres including gothic rock, psychedelic rock, hard rock, new wave, punk, hardcore punk, thrash metal, sludge metal, and industrial. Many fans describe Type O's music as 'sad, depressed, dark, and haunted'.

2.6 Peter Steele's death and the end of Type O Negative (2010).

2.5 Life Is Killing Me and Dead Again (2002–2009).

2.4 World Coming Down and The Least Worst of Type O Negative (1999–2001).2.3 Bloody Kisses and October Rust (1993–1998).2.2 Slow Deep and Hard and The Origin of the Feces (1991–1992).The band was permanently split up following Peter Steele's death from a heart failure. The band released seven studio albums, two best-of compilations, and two concert DVDs. The band comprised of vocalist, bassist and frontman Peter Steele, guitarist Kenny Hickey, keyboardist Josh Silver, and drummer Johnny Kelly, who replaced Sal Abruscato. Type O Negative is a gothic metal band active from 1989 through 2010 based in Brooklyn, New York. A Pale Horse Named Death, Danzig, Carnivore, Woods of Ypres, Moonspell, Paradise Lost, Black Sabbath, Alice in Chains, Life of Agony, Tiamat, Stillborn, Repulson, Diabolique, My Dying Bride, The Vision Bleak, Seventh Void, End of Green, Katatonia, Triptykon, Frown, Sentenced, Left Hand Solution, Acid Bath, Twitching Tongues, Darklands, In the Colonnades, Crematory, Abysmal Grief, The Bronx Casket Co., Jerry Cantrell, Jack Frost, Kypck, October Noir, Visceral Evisceration, Albez Duz, Lacrimas Profundere, Virgin Black, White Zombie, Celtic Frost

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