Down with the Sickness was released in 2000 as a single from Disturbed's debut album The Sickness and became the American metal band's signature song. Its staccato rhythm, drop-tuned guitar and David Draiman's distinctive vocal delivery made it a staple of rock radio, sports arenas and movie soundtracks. Karaoke and instrumental versions spread online for singers wanting to perform the track themselves, and short backing clips are now shared on soundboards for entrances, edits and practice sessions where the heavy riff is instantly recognisable.