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As well as the theme song, most of the recurring themes for the season were introduced in the opening episode, "The Eleventh Hour", including Amy’s childhood themes ("Little Amy", "Can I Come With You?", "Little Amy: The Apple", "Amy in the TARDIS") and the Eleventh Doctor’s themes, "I Am the Doctor" and "The Mad Man With A Box", replacing tracks previously associated with the Ninth and Tenth Doctors ("The Doctor’s Theme" and "The Doctor Forever").
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Such new material included two new themes for the Doctor, entitled I Am the Doctor and The Mad Man with a Box; along with multiple themes associated with Amelia Pond, and River Song.
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Just like the other four albums preceding it, the soundtrack’s vocal numbers were largely performed by Melanie Pappenheim, Yamit Mamo and Dorie Jackson, while the fully orchestral pieces were performed by the BBC National Orchestra of Wales.
George Carlin (Mr. Conductor) narrated Seasons 1, 2, 3 and 4, while Alec Baldwin (Mr. Conductor's brother, Mr. Conductor) narrated Season 5.