World Coming Down is the fifth album by the Brooklyn band Type O Negative. It is considered to be the darkest of the band's albums, having been written after a series of deaths in frontman Peter Steele's family.

As with the band's previous album, October Rust, this album also has a "joke intro": in this case, the intro, appropriately titled "Skip It", is 11 seconds of staccato band noise, meant to sound as if the listener's CD player is skipping. Cassette versions had the noise of a tape being "eaten" by the tape player. The track ends with what is presumably the guitarist, Kenny Hickey, shouting, "Sucker!"

The first song, "White Slavery", deals with cocaine addiction. Two other songs, "Everyone I Love Is Dead" and "Everything Dies", touch on the difficulties of watching family members and loved ones die. Another track, "Who Will Save the Sane?" incorporates, among other oddities, Peter Steele reciting the number pi to 9 decimal places (3.141592653).

The album contains three "soundscape" tracks, which are named after internal organs, as segues between songs. Each of these songs is intended to suggest the possibilities of the deaths band members may suffer: "Sinus" as death from cocaine use, "Liver" as death through alcohol abuse and "Lung" as death from smoking. In an ironic foreboding, Steele once told a close friend that he could not bear to listen to "Sinus" after it was mixed and completed, because the sound of the heartbeat escalating to its furious pace after the cocaine-snorting sound effect actually drove him to the point of an anxiety attack because of its realism.

Also included, at the end of the CD, is yet another cover song, this one a medley of three Beatles songs. An additional song recorded during the album sessions, "12 Black Rainbows," was issued as the b-side for the "Everything Dies" single; later, it was included on the compilation album The Least Worst Of with two other outtakes from the same sessions ("It's Never Enough" and "Stay Out of My Dreams").

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