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Pinnacle of Bedlam is the seventh studio album by American death metal band Suffocation. It is the band's first full-length record since Pierced from Within to not feature Mike Smith (although he makes a guest appearance on the final track), instead the album features returning drummer Dave Culross, making this his only full-length record with Suffocation and his first release overall with the band since 1998's Despise the Sun. Track 10, 'Beginning of Sorrow', is a re-recording of the track of the same name from the album Breeding the Spawn. It is also the band's last album with longtime guitarist Guy Marchais.
A limited edition release of the CD included a DVD containing the 75-minute documentary The Making of Pinnacle of Bedlam[citation needed].
In its first week, the album sold about 3,200 copies and landed at the 152 position on the Billboard 200[citation needed].