Over the years Against Me! have struggled with fans challenging them over their ideologies as a band, as they seemed to be losing their punk-anarchy roots. Unsurprising when you have a catalogue of six albums and demos dating back to 1997. This latest album moves away from arguments of ideology, and into true identity.

As suggested by the title, the album deals with gender dysphoria, following the journey of vocalist Laura Jane Grace, who came out as a transgender woman in 2012. Grace wrote many of the songs on the album around that time, and brought them together with a sprinkling of punk distortion to form the 10 tracks of Transgender Dysphoria Blues.

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