Tony Iommi was seventeen years old and working a sheet metal press in Birmingham when a machine took the tips off the middle and ring fingers of his right hand. That was his fretting hand. Most players would have packed it in. Iommi nearly did, until the factory manager visited him and told him about Django Reinhardt, the Belgian-born Romani jazz guitarist who had lost the use of the ring and pinky fingers of his fretting hand in a caravan fire and gone on to redefine what the instrument could do. As Iommi later put it, "I could relate to Django Reinhardt after losing two fingers, and listening to him inspired me to play more." That decision, made in a Birmingham hospital sometime around 1965, is where the lineage of every riff-centered hard rock band quietly begins.

The physical problem Iommi faced was threefold, and each limitation pushed his playing in a direction that would become genre-defining. He couldn't feel the strings through the plastic thimbles he built for his fingertips, so he pressed down hard, giving his attack an unusual ferocity. He had difficulty bending strings, which forced him to alter his lead technique, rely more heavily on his index and little fingers, develop hammer-on trills in place of certain blues bends, and search for dramatically lighter string gauges.

And to ease the tension on his damaged fingers, he started detuning. The first two Black Sabbath albums, released in 1970, were recorded in standard E tuning. By 1971's "Master of Reality," he had dropped the whole instrument down three semitones to C-sharp, and bassist Geezer Butler tuned down to match him. The sound that resulted, on tracks like "Into the Void" and "Children of the Grave," was something no one had heard before: vast, low, and slow, with a weight that felt almost physical.

The guitar Iommi ran through this setup was a Gibson SG, and the signal chain was unusual enough to be worth noting. He used a modified treble-boosting effect pedal and, critically, plugged his guitar into his amplifier's bass input socket rather than the standard guitar input, which gave his tone that extra low-end thickness. He was solving a problem. The solution turned out to be the template. "War Pigs," "Iron Man," "Paranoid" from the 1970 album of the same name: these riffs are not complicated. They are massive, and they are built from the specific constraints of one man's injury. "Master of Reality" was produced by Rodger Bain, who had helmed both previous Sabbath records, and the album peaked at number five on the UK charts and number eight in the US, despite a critical reception that was, at the time, largely dismissive.

The influence downstream is almost too large to map cleanly, but a few threads are worth following. Judas Priest absorbed the Iommi blueprint and sharpened it into something more precise and theatrical. Ozzy Osbourne, fired from Sabbath in 1979, went on to build his solo career on the same riff-first architecture, running through players like Randy Rhoads and later Zakk Wylde, both of whom had absorbed Iommi's chord-heavy approach before they ever plugged in at Ozzy's rehearsals. When Ronnie James Dio replaced Osbourne in Sabbath and the band recorded "Heaven and Hell" in 1980, the tunings shifted again to accommodate Dio's vocal range. The riff machine kept adapting.

The longer reach of "Master of Reality" in particular cuts through genres that don't always get credited back to Birmingham. The downtuned, slow-grinding approach on that album is the direct ancestor of doom metal, stoner rock, and the sludge end of grunge. Bands like Sleep and Queens of the Stone Age didn't appear from nowhere. Early Soundgarden, and Kim Thayil's guitar work in particular, carries the same low-center-of-gravity riff logic that Iommi established in 1971, as does Jerry Cantrell's playing throughout Alice in Chains' catalog. Drop-D and downtuned playing are now ubiquitous across hard rock and beyond, so commonplace that younger players don't think about where the convention came from. It came from a seventeen-year-old in a Birmingham factory who lost two fingertips and refused to quit, and who found a way to make the limitation itself into the sound.

Iommi is the only member of Black Sabbath to appear on all nineteen of the band's studio albums, from the 1970 debut through the Rick Rubin-produced "13" in 2013. That final record came with a notable asterisk: original drummer Bill Ward declined to participate due to a contractual dispute, and Brad Wilk of Rage Against the Machine drummed in his place. The album still hit number one in thirteen countries and took home the Grammy for Best Metal Performance for "God Is Dead?" at the 2014 ceremony. That kind of consistency across five decades and multiple lineup changes is remarkable on its own terms. The deeper story, though, is about what happens when a physical constraint forces a musician to find a different door into the instrument. Iommi didn't play through the blues tradition the way Clapton or Page did, because his fingers wouldn't let him. He went somewhere else, somewhere lower and darker and slower, and the whole of hard rock followed him down.