With Teeth is the fourth studio album released by Nine Inch Nails. Originally meant to be a concept album based on the science fiction novel The Lathe of Heaven, Trent Reznor (the bands primary creative force, vocalist, songwriter, producer, and instrumentalist) descirbes the tracks as "13 songs that are friends with each other but don't have to rely on each other to make sense." He has also stated that the album is highly influenced by his battle with and recovery from alcoholism and substance abuse.