Trouser Press praised the album, calling it "a roaring rock record that puts [Biafra's] trademark whiny vocals and songs to D.O.A.'s meat-and-cojones guitar power. Through a half-dozen numbers like "Wish I Was in El Salvador," "Attack of the Peacekeepers" and the epic "Full Metal Jackoff," Last Scream proudly re-hoists the DK flag in all but name."[6]