The title was chosen to convey the band's vehement anti–right-hand path  stance. Attera Totus Sanctus is the first album to feature guitarist Chaq Mol and the last album to feature drummer Matte Modin and also features session bassist Gustaf Hielm.
The album's title was chosen to reflect the band's uncompromising stance against right-wing extremism, marking a significant departure from their previous work with guitarist Chaq Mol and drummer Matte Modin, who would not be involved in future recordings, while featuring session bassist Gustaf Hielm.