Sacrament is the fifth studio album by American groove metal band Lamb of God. Released on August 22, 2006, Sacrament debuted at No. 8 on the Billboard 200 charts with first-week sales of 63,000. The album was the top-selling heavy metal album of 2006 and received the Album of the Year award from Revolver magazine. As of 2010, it has sold over 331,000 copies in the United States.
The song “Pathetic” was performed live on the February 9, 2007 edition of Late Night with Conan O'Brien. This marked the first major network performance for Lamb of God. The song “Redneck” was nominated in the 2007 Grammy Awards for Best Metal Performance, but lost out to Slayer’s “Eyes of the Insane”.