an epiphanic vomiting of blood is the third full-length studio album by gnaw their tongues, released on december 15, 2007 by burning world and señor hernandez records. it was re-issued in 2008 by crucial blast and became gnaw their tongues' first album to be released on compact disc in the united states. this allowed for wider distribution and marked the first time the project garnered critical interest, with comparisons being favorably drawn to the music of napalm death and carcass.