Sometimes guitar riffs get repeated over and over ("vamping," in the lingo of musicians), but generally there is a soloist proving variation that runs above that background, lest the song sound monotonous. Philip Glass's minimalist compositions (such as the soundtrack to 'Koyaanisqatsi') deviate from much of the classical music that preceded them, with much less obvious movement than, say, the Romantic-era compositions that his work seems to rebel against, yet his works, too, consist not only of extensive repetition but also of constant (though subtle) variation. Virtually every song you've ever heard consists of exactly that: themes that recur over and over, overlaid with variations.
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