He formed [[Pigface]] sometime around 1990 while touring with [[Ministry]]. Pigface would have an ever-changing line-up over the years, receiving criticism for a perceived lack of continuity. Atkins is the only person who has been involved with the project from day one.
Pigface toured in 1990 1991 with [[Trent Reznor]] providing guest vocals. The Pigface song "[[Suck]]" was co-written with Reznor and later covered recorded by NIN for the ''[[Broken|Broken EP]]'' EP. Atkins can be seen in the "[[Head Like A Hole (song)|Head Like A Hole]]" music video and played drums on the song "[[Wish (song)|Wish]]."
Atkins is currently teaching a course on the business end of concert touring at Columbia College in Chicago.