Of the many rappers who followed the aesthetic formula laid out by SpaceGhostPurrp and Raider Klan—lo-fi samples, hotboxed '90s nostalgia, and an atmosphere that evokes witch house as much as horrorcore—few have built as stable a career as $uicideboy$, the New Orleans-born cousins Ruby da Cherry and $crim. With no radio hits and little in the way of mainstream American press, the duo has amassed a substantial following, to the tune of hundreds of millions of streams and collaborations with Travis Barker and Korn's Munky. As their status has grown, so has their focus, and their once prolific release schedule has slowed. Their work hinges on a central question: When you've defined yourself by a professed desire to die, how do you sustain a thriving career based on your trauma? Long Term Effects of Suffering makes it clear that the anguish is no gimmick, but rather part of an almost Zen philosophy: For $uicideboy$, all of life is suffering, and it's in that suffering that their work finds its meaning.