Sergio Pagnacco is an Italian musician, a composer best known for being one of the founding members of the seminal metal band Vanexa. In 2009 he joined the power prog-metal band Labyrinth playing all over the world sharing stages with Motorhead, Saxon, Ozzy Osbourne, Iron Maiden, Megadeth, and many more. His doctorate in audiology sciences and his profession as a university lecturer in subjects such as cochlear implants and pediatric deafness also engages him in various seminars dedicated to hearing protection for musicians. His new project can be defined as innovative, a dystopian and essential metal, sometimes chaotic and frenetic to better identify the current society. Fear, anxiety, and a negative future are well represented by this work, the first to identify with the term dystopian metal. Dr. Schafausen can be defined as a dystopian author because tells an imaginary reality of the future with negative and predictable inclinations. The social lyrics, chaotic metal, and voices without a reference point best express the concept of dystopian and a future with oppressive and dangerous environmental conditions.The album's central theme focuses on mental disorders, a complex set of pathologies that influence thoughts, emotions, and behavior. Through his music, Dr. Schafausen aims to promote understanding and acceptance of individuals who live with these conditions, encouraging them to seek help without fear of judgment or discrimination.