Megadeth's Dave Mustaine Reflects on No. 1 Album, Health Issues, and Touring

The thrash metal icon opens up about the success of Megadeth's latest album and the challenges of continuing to perform live.

Published on Feb. 13, 2026

Dave Mustaine, the frontman of the legendary thrash metal band Megadeth, has opened up about the success of the group's latest self-titled album, which debuted at No. 1 around the world. Mustaine discusses the bittersweet nature of the achievement, given his ongoing health issues, including cancer, spinal fusion, arthritis, and other ailments that have taken a toll on his ability to perform. Despite the challenges, Mustaine is determined to take Megadeth on tour, including a 12-date Canadian trek starting in February 2026 and additional shows in South and Central America, Europe, and North America throughout 2026 and 2027.

Why it matters

Megadeth's success with their latest album is a significant milestone for the band, which has been a pioneering force in the thrash metal genre for decades. Mustaine's candid discussion of his health struggles and determination to continue performing live despite the physical toll provides insight into the personal sacrifices and challenges faced by veteran musicians. The story also highlights the enduring popularity of thrash metal and Megadeth's continued relevance in the music industry.

The details

Megadeth's 17th and, according to Mustaine, final album has achieved remarkable success, topping charts around the world, including the Billboard 200 for the first time in the band's history. The album's singles, such as 'Tipping Point' and 'Puppet Parade,' have also performed well on various rock music charts. However, Mustaine reveals that the recording process was challenging due to his numerous health issues, including cancer, spinal fusion, arthritis, and other ailments that have taken a toll on his ability to perform. Despite these challenges, Mustaine is determined to take Megadeth on tour, starting with a 12-date Canadian trek in February 2026 and additional shows in South and Central America, Europe, and North America throughout 2026 and 2027.

  • Megadeth's 17th and final album was released on January 23, 2026.
  • The single 'Tipping Point' topped the Hard Rock Digital Song Sales chart in October 2025.
  • The single 'I Don't Care' reached No. 5 on the charts in November 2025.
  • The single 'Puppet Parade' debuted at No. 9 on the Hard Rock Songs survey in early 2026.
  • Megadeth's Canadian tour is scheduled to kick off on February 15, 2026, in Victoria, B.C.

The players

Dave Mustaine

The frontman and co-founder of the thrash metal band Megadeth, who has led the group since its inception in 1983.

Justis Mustaine

Dave Mustaine's son and co-manager of Megadeth.

Teemu Mantysaari

The Swedish guitarist who is making his first appearance on a Megadeth album.

James Hetfield

The co-founder and lead vocalist of Metallica, with whom Mustaine co-wrote the song 'Ride the Lightning.'

Anthrax

The thrash metal band that will provide support for Megadeth's Canadian tour.

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What they’re saying

“It's been like a really big chubby. That was terrible.”

— Dave Mustaine (Billboard)

“We really love to play together. If that's what you're about, you don't let the fly sh-t on the dancefloor trip you up.”

— Dave Mustaine (Billboard)

“I just wanted to do the right thing. I wanted to respect James and close the circle with those guys with that track and just show my respect for my time that I had in the band.”

— Dave Mustaine (Billboard)

What’s next

Megadeth is booked for tours throughout 2027 and could stay out even longer, according to Mustaine. The band will start playing four songs from their latest album during the upcoming Canadian tour, which will also feature support from fellow thrash metal band Anthrax.

The takeaway

Dave Mustaine's openness about his health struggles and determination to continue performing with Megadeth, despite the physical toll, highlights the personal sacrifices and challenges faced by veteran musicians. The success of Megadeth's latest album is a significant milestone for the band, underscoring their enduring popularity and influence in the thrash metal genre.