I already mentioned this to SegFault but I'll post it in the thread so everyone else can hear it.
You need to listen to this. It's played using a prepared piano. A prepared piano is a piano that has things like nuts, tape, bolts, ping pong balls, screws, tools, knives, plates, forks, and pretty much anything else you can think of wrapped around, set on top on top of, or wedged between the strings. I think he actually uses pager motors or something to generate a constant ambient effect in the background.
If you haven't heard a prepared piano played before you really should because it's awesome and you may never get to hear one in real life.