The first disc contains a remaster of the original LP, mixed by Albini save for the Scott Litt-mixed "Heart-Shaped Box" and "All Apologies". Albini's mixes of those tracks will be on disc one, as will time-appropriate B-sides, rarities, Litt's single mix of "Pennyroyal Tea", and more. Disc two features a new "2013 album mix" of In Utero plus demos, rehearsal recordings, and "Forgotten Tune", a newly found instrumental rehearsal track. Disco two also includes Dave Grohl's 1990 demo of the B-side "Marigold", which Rolling Stone calls "his first ever solo recording."
The third CD features the 1993 MTV "Live & Loud" concert at Seattle's Pier 48. The show, plus outtakes, is included on the DVD, which also features footage from the In Utero Euro tour and an extended version of the "Heart-Shaped Box" music video.
The reissue includes reproductions of the lyrics handwritten by Cobain, as well as a four-page note from Albini, written to the band before the recording of In Utero. The comedian Bobcat Goldthwait, who toured with Nirvana during In Utero, wrote liner notes as well.