Bazooka Tooth, Aesop Rocks fourth album, originally came out on Def Jux in 2003. Produced by El-P, it features contributions from Cannibal Ox, DJ Cip One, DJ pawl, S.A. Smash, and Murs with illustrations from Tomer Hanuka. Pitchfork called Bazooka Tooth another strong outing from one of underground hip-hops most talented, thanks in no small part to its unprecedented wealth of lyrical depth and individual production style. Thomas Quinlan of Exclaim! Commented that Aesop drops abstract poetry, heartfelt stories and new millennial b-boyisms in his gruff monotone flow. It reached #44 on Billboards Hip-Hop Albums chart, and #112 of the Billboard 200.

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