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 convey the band's strong anti-conservative views, highlighting their commitment to challenging traditionalist ideologies, as exemplified by the involvement of guitarist Chaq Mol and drummer Matte Modin in this particular recording, which would be their last together.