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Life of Agony is an alternative metal band from Brooklyn, NY formed in 1989. The lineup initially comprised vocalist Keith Caputo and his cousin Joey Z on guitar, and long-time friend Alan Robert on bass. Type O Negative's drummer Sal Abruscato was hired to record albums 'River Runs Red' and 'Ugly' on drums. He re-joined the band when they reformed in 2003. In 2014 the original 'River Runs Red' line-up returned to stage for several gigs. Their first album with Caputo as a transgender woman, A Place Where There's No More Pain was released in 2017. Their next album Sound of Scars released in 2019. In 2022 a documentary film entitled The Sound Of Scars was released. In 2024 Caputo detransitioned from female back to male