1999's stripped-down and heavier sounding World Coming Down. Themes of drug abuse and addiction appeared on the album, particularly on the song "White Slavery". Death also featured heavily on the album, with Steele mourning the loss of loved ones on the tracks "Everyone I Love is Dead" and "Everything Dies". Steele recounted his experience with psychiatric treatment on the song "Who Will Save the Sane?". On "Pyretta Blaze" Steele tells of his sexual fantasy involving fire. Steele noted the emotional strain caused by executing songs from World Coming Down in a live setting. The setlists for live shows performed since the initial tour to support World Coming Down usually featured very few selections from the album. In 2000, Steele made a guest appearance on the song "Just Say No To Love" from Iommi, the first solo album by Black Sabbath guitarist Tony Iommi. In 2001, Steele made a guest appearance on the song "Cross the Line" from the Biohazard album Uncivilization. In 2002, he guest appeared on the track "Descent" from the Doro album Fight. Life Is Killing Me and Dead Again (2003–2010) Type O Negative released the album Life Is Killing Me in 2003. Lyrically the album deals with topics including self-pity, hatred, drugs, death and religion. On the title track Steele offers his criticism of the medical profession. The song "Nettie" centers around Steele's mother, while "Todd's Ship Gods (Above All Things)" is about his father. "The Dream is Dead" refers to Steele finding it difficult to celebrate Valentine's Day as the date coincides with the anniversary of his father's death. Steele wrote the song "(We Were) Electrocute" about a "stunning" ex-girlfriend, and how they would attract the interest of passers-by when out together as a couple. Steele's favorite female television characters are the inspiration for the track "How Could She?". "I Like Goils" makes light of the attention Steele received from gay men, specifically after his photo shoot for Playgirl magazine. In 2005, Type O Negative left Roadrunner Records. Steele had never been happy with the conditions of the recording contract and had described it as "a millstone around my neck". Steele alleged that Type O Negative's split from Roadrunner Records, aside from a poor offer, had to do with an unauthorized release of a best-of compilation. Steele remained on friendly terms with the staff at Roadrunner Records and in October 2005 he appeared on the Roadrunner