The Black Plague Doctor's sound is achieved by mixing live instruments and analog drum machines; often tied together using the Roland SP404. These tools allow the band to slip seemlessly between genres without sounding jarring or forced. Their trademark laid-back aesthetic compliments their alternative approach as easily as when showcasing their hip-hop/RnB roots. It is their mission to create quality music without compromising their artistic integrity. The Doctors are, if nothing else, students and preservers of the craft.