At Metacritic, which assigns a weighted average score out of 100 to reviews from mainstream critics, the album received an average score of 78, based on 26 reviews, indicating "generally favorable reviews".[3]
Brian Howe of Pitchfork gave the album an 8.0 out of 10, saying, "On A Healthy Distrust, Francis continues to refine his contradictory blend of trash talk and activism, political polemic and introspection, pedantic bluster and profound insecurity."[10] Stefan Braidwood of PopMatters gave the album 8 stars out of 10, saying, "A Healthy Distrust bears up effortlessly to the demands of both casual entertainment and prolonged, thoughtful analysis."[11] Ron Hart of Billboard called it "[Sage Francis'] most impressive album yet."[5] Michael Bennett of Stylus Magazine gave the album a grade of B, saying, "A Healthy Distrust's production and wordplay have improved to such a large degree that it's hard to believe that it could happen again on the next outing."[12]
Track listing
All tracks are written by Sage Francis, except "Sea Lion" written by Sage Francis and Will Oldham