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The sixth studio album by the English rock band. The album comes five years after the bands' previous album - 2003's 'Amazing Grace' - and following Pierce's near death experience in 2005, after he had contracted advanced periorbital cellulitis with bilateral pneumonia with rapid deterioration requiring intensive care and c-pap for type 1 respiratory failure. The album takes its title from the long period Pierce spent in the Accident and Emergency ward (A&E) during this illness and it is also dedicated to the staff at the Royal London Hospital where he was treated. Features the single 'Soul on Fire'.

Track Listing:
1. Harmony 1 (Mellotron) - Spiritualized (0.24)
2. Sweet Talk - Spiritualized (4.04)
3. Death Take Your Fiddle - Spiritualized (3.13)
4. I Gotta Fire - Spiritualized (2.28)
5. Soul On Fire - Spiritualized (4.07)
6. Harmony 2 (Piano) - Spiritualized (0.42)
7. Sitting On Fire - Spiritualized (4.38)
8. Yeah Yeah - Spiritualized (2.28)
9. You Lie You Cheat - Spiritualized (3.04)
10. Harmony 3 (Voice) - Spiritualized (0.18)
11. Baby I'm Just a Fool - Spiritualized (7.07)
12. Don't Hold Me Close - Spiritualized (3.08)
13. Harmony 4 (The Old Man...) - Spiritualized (1.32)
14. The Waves Crash In - Spiritualized (4.08)
15. Harmony 5 (Accordion) - Spiritualized (1.03)
16. Borrowed Your Gun - Spiritualized (3.47)
17. Harmony 6 (Glockenspiel) - Spiritualized (0.5)
18. Goodnight Goodnight - Spiritualized (4.38)

Year of Production: 2008

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