The first few shows left me feeling a little perplexed. It wasn't comedy, but rather a comically dressed person trying to express his world-views in a funny and vulgar way. With every episode, the show has become more enjoyable, but I think that the theme of exploring today's world basically stuck.
Since I was expecting more comedy, I didn't enjoy the show that much at first. I identified with some of his views, but that is not why I watched it. Gradually, the comedy part caught up with the rest. However, what I love about the show now is mainly the 'philosophy behind his mental illness'. He tries to portray the most extreme individuals as people (spoiler: 'as long as they don't have sex with animals') and, tries to open a dialogue free of condemnation. While he (or any of this) can't be taken seriously, I think he's still trying to send an important message.
The laughs are solid and I think most people will enjoy his more recent shows. I am giving this a 10/10 because I like what he's doing.