"Grotesque" is Manson's first album since the departure of longtime bassist Twiggy Ramirez, who was replaced by Skold. Manson collaborated on the album artwork with artist Gottfried Helnwein. Plans are afoot for their work to be exhibited in museums worldwide at some point in the future.
Manson is among the headliners for the 2003 edition of Ozzfest, which kicks off June 28 in San Antonio. The artist is also working on the score for New Line Cinema's remake of the 1970s horror classic "The Texas Chainsaw Massacre."