Along with Touch and Go, Sick Teen was one of the earliest hardcore and punk fanzines in the Midwest. Sick Teen was published in half size, with images cut from magazines and typewritten or handwritten text shrunk to small size by a photocopier.
Sick Teen coupled absurd humor with punk and hardcore album reviews, launching the Rev. Norb persona that would continue in Rev. Norb's band Boris the Sprinkler and in his columns for other zines like Maximum Rock 'N' Roll.