Matthew Sage has been active in counter-culture and subculture as a musician, artist, writer, publisher, and distributor for nearly fifteen years. His autoethnographic research and experience in these fields has tied into his academic research interests involving intermedia arts, physical and digital media, and mediated narrative.

He operated Patient Sounds, an internationally acclaimed record label that published more than 140 cassettes, vinyl records, and books produced by artists from around the world in its 10 years of operation. He now operates Cached.Media, a platform sharing music, art objects, and web-broadcasts exploring collaborative works made through digital mediation. He has published/shown music, writing, poetry, and visual art with many record labels, small press publishers and independent galleries. He has also performed, produced, recorded, and collaborated on works shown at The Art Institute of Chicago, The MOMA, MOMA PS1, the Whitney Museum.