It's all about being alone in the middle of nowhere, listening to the radio, and living through the first few minutes of a nuclear war. Or maybe it's about advertising, or the 2016 election. Not my problem anymore.
Apart from software-synthesized voices and audio stripped from various Internet videos, all sounds on this recording were produced on the small modular synthesizer pictured below. No piano-style keyboard was used, but a computer was occasionally used to play sequences of notes on the synthesizer via MIDI. Many digital recordings were edited together on the computer to produce the final product.