The riffing displayed in Altered Genesis is similar to most death metal bands, but is still good. Guitarist Død and Tchort put on a adequate display of how death metal bands should do riffs. All of the riffs are extremely fast and brutal, but Blood Red Throne mixes the turbo fast riffs with mid-paced riffs, which is pretty interesting. The only problem I have with the guitar playing is the lack of solos. The fancy guitar work is usually a strong addition to most albums, but Altered Genesis has very little leads or solos. The solos that are actually played in the album are excellent, and a bunch more of them would of made Altered Genesis a better album, but the puny amount of solos is moderated a bit by the bass playing. Unlike most death metal bands, Blood Red Throne tend to use more bass then guitar solos. It was surprising hearing all the bass lines that are packed into the music. On most of the songs, bassist Erlend Caspersen usually plays the same riff alongside the guitars, which makes the bass sound crisp and clear. One thing that really makes Altered Genesis seem nuts is when the music just stops and Caspersen throws in a bizarre bass line. The drumming isn't anything different from other death metal drummers, but is passable. Drummer Bernt A Moen does some good blast beats and double pedal hits, but he just doesn't stand out as a fantastic drummer.

Not only is singer Vald an awesome growler, he is probably one of the better singers in death metal. Vald has a deep, tortured voice that really combines well with the rest of the music. Vald's performance in Altered Genesis adds a bunch of effects of the music and makes this album seem very enjoyable.