After much thought...

[cirrhosis]

...my top five albums are:

Bad Brains - Black Dots
Smashing Pumpkins - Siamese Dream
Flaming Lips - In a Priest Driven Ambulance
Cat Power - What Would the Community Think?
Elvis Costello & the Brodsky Quartet - Juliet Letters

And honorable mention goes to:
Tom Waits - Rain Dogs

Barely unmentioned:
Dinosaur Jr. - Without a Sound