Spiral Insana is an album by Nurse With Wound. In the book England's Hidden Reverse, author David Keenan describes the album as one of NWW's "most powerful records" but principal member Steven Stapleton advised Keenan that the making of "Spiral Insana" was particularly difficult. Torso had given Stapleton an advance of £3000 to make the album and Stapleton states that he felt under a degree of pressure as a result — "[e]very three or four weeks, they'd send a representative over to listen to what I had done so far. Spiral Insana was a sprawling mess until I put it together and edited it into what I wanted it to be."