Album was composed by and was released on September 30, 2008. Soundtrack consists of 22 tracks tracks with duration over about 55 minutes. Album was released by Lionsgate.
CD 1
| 1 | At the Opera TonightRepo! The Genetic Opera Cast | 02:10 |  |
| 2 | CrucifixusRepo! The Genetic Opera Cast | 01:48 | |
| 3 | Things You See In a GraveyardRepo! The Genetic Opera Cast | 03:12 | |
| 4 | InfectedRepo! The Genetic Opera Cast | 03:27 | |
| 5 | Legal AssassinRepo! The Genetic Opera Cast | 03:29 | |
| 6 | Bravi!Repo! The Genetic Opera Cast | 00:53 | |
| 7 | 21st Century CureRepo! The Genetic Opera Cast | 03:41 | |
| 8 | Mark It UpRepo! The Genetic Opera Cast | 01:52 | |
| 9 | Can't Get It Up If the Girl's Breathing?Repo! The Genetic Opera Cast | 00:35 | |
| 10 | Zydrate AnatomyRepo! The Genetic Opera Cast | 03:23 | |
| 11 | Thankless JobRepo! The Genetic Opera Cast | 01:41 | |
| 12 | Chase the MorningRepo! The Genetic Opera Cast | 03:04 | |
| 13 | Night SurgeonRepo! The Genetic Opera Cast | 02:36 | |
| 14 | SeventeenRepo! The Genetic Opera Cast | 01:51 | |
| 15 | GoldRepo! The Genetic Opera Cast | 03:02 | |
| 16 | We Started This Op'ra S**tRepo! The Genetic Opera Cast | 02:44 | |
| 17 | Needle Through a BugRepo! The Genetic Opera Cast | 01:41 | |
| 18 | ChromaggiaRepo! The Genetic Opera Cast | 02:35 | |
| 19 | Let the Monster RiseRepo! The Genetic Opera Cast | 02:46 | |
| 20 | I Didn't Know I'd Love You So MuchRepo! The Genetic Opera Cast | 02:06 | |
| 21 | Genetic EmancipationRepo! The Genetic Opera Cast | 02:15 | |
| 22 | Genetic Repo ManRepo! The Genetic Opera Cast | 03:04 | |
