After a decade-long hiatus, Thirlwell revived his Steroid Maximus project in 2001 (without Watts). Ectopia was recorded and released as the third album for Mike Patton's Ipecac label in 2002. Steroid Maximus made its live debut in Los Angeles in 2003, facilitated by a commission from UCLA . Thirlwell rearranged the music for an 18-piece orchestra, with string and brass section. This included trumpeter Steven Bernstein , with whom he had worked with on the Foetus album Gash . Conducted by Thirlwell, the ensemble contained such luminaries as Nels Cline , DJ Bonebrake and Bruce Fowler . He has since performed with French and Austrian versions of this ensemble, and in 2005 extended the repertoire to add a set of Foetus material for the Donaufestival .