On August 20 , 2018 , at the MTV VMAs , a ten second long snippet of the song " My Blood " was played at the end of a commercial promoting the album . On August 27 , 2018 , the band made " My Blood " available on streaming services as the album 's fourth official single . Twenty One Pilots released their fifth album , '' Trench '' , on October 5 , 2018 . On the same day , they released the music video for their single " My Blood " on their YouTube channel . '' Trench '' debuted at number one on the Billboard Top Rock Albums and Alternative Albums charts . All 14 tracks from the album charted in the top 25 of the Hot Rock Songs chart , where five tracks were in the top 10
MTV VMAs
2018 MTV Video Music Awards
Twenty One Pilots