Fear is the first of Cale's three studio albums for Island Records, all of which were released in a period of just over a year. During this time Cale was also producing records for other artists, working on albums such as Horses (1975) by Patti Smith, one of the most influential of all proto-punk records.
Fear was released on 1 October 1974. "The Man Who Couldn't Afford to Orgy" b/w "Sylvia Said" was released as a single.
The album was remastered in 1996 as part of the 2CD release The Island Years, containing also both Slow Dazzle (1975) and Helen of Troy (1975). It contained "Sylvia Said (Remix)" as a bonus track. The single version of "Sylvia Said" remained unissued on CD as of 2018.
Mick Brown of Crawdaddy said Fear was "in many ways a patchwork of [Cale's] past. His motif, as defined on Paris 1919, remains clean, compact, clever melodies, written and produced with a clear understanding of the subtle nuances of mood the simplest of chord structures and breaks can evoke. But the extravagant orchestration which characterized the last solo album has been largely abandoned in favor of a sparser, more barren sound, with just the barest backing essentials augmenting Cale's vocals."[8]
Writing in Let It Rock, Mick Gold said: "Cale has the voice of a chameleon. It's never great singing but his deadpan Welsh-American accent gives it just the right edge. His music has broadened its range whilst also sounding more pared-down. And at least five songs on this album stand equal to the best songs of the 70s. I think it's self-evident from Paris and Fear that Cale's work is more original and more enjoyable than the albums being put out by a dozen better-known artists."[9]
Trouser Press called Fear "a brilliant record full of neat surprises and great, unsettling songs."[10]