This album consists of one 49 minute track of female vocals, spoken, chanted and looped to create a haunting meditation and evoke pathos. Steven Stapleton employs a variety of hums, sighs, and spoken phrases to create a ghostly ambience. Originally released in 2005, this is the first time it will be pressed on wax. Nurse With Wound has come to be regarded as the master of avant-garde post-classical experimentation, and Echo Poeme Sequence No. 2 has come to embody an important moment in its oeuvre.