One-time Buster Brown bass guitarist Geordie Leach was recruited to record their self-titled debut LP, Rose Tattoo, which reached the top 40 on the Australian Kent Music Report Albums Chart in November 1978. The album, produced by Vanda & Young, was released in some markets as Rock N' Roll Outlaw after their second single, "Rock N' Roll Outlaw" which did not reach the top 50. Leach left the band in May 1979 to be replaced in October by guitarist Lobby Loyde filling in on bass (Coloured Balls, Purple Hearts, Wild Cherries). During his brief tenure, they recorded "Legalise Realise" which was released as an independent single in March 1980, backed with the track "Bong on Aussie" by country singer Colin Paterson, to publicise a campaign to legalise marijuana.  Later in 1980, they toured the United States and then toured Europe (including UK), but by September Loyde had left and Leach had returned.  Early in 1981, "Rock N' Roll Outlaw" started to chart in Europe, peaking at No. 2 in France, No. 5 in Germany and No. 60 in UK. The line up of Anderson, Cocks, Leach, Royall and Wells toured Europe from April. Three years after their debut the band issued the follow-up album, Assault and Battery in September, which reached the top 30 in Australia. Both Rock N' Roll Outlaw and Assault and Battery peaked at No. 1 on the UK heavy metal albums chart.  Rose Tattoo's 1981 tour of Europe included an appearance at the Reading Festival, where Anderson repeatedly head butted the amp stacks until his scalp started bleeding. They were hailed as the loudest band to play London's Marquee Club since Led Zeppelin. Returning to Australia, the band began work on their third album; with new guitarist Robin Riley replacing Cocks, who went on to join Heaven, they issued Scarred for Life in 1982, subsequently touring the US in support of Aerosmith and ZZ Top. The band's US visit was not a major success but proved to be influential on the underground sleaze metal scene in Los Angeles, with bands such as Guns N' Roses which later cited Rose Tattoo as a favourite and recorded a cover of "Nice Boys" on Live ?!*@ Like a Suicide in 1986.

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