The band started to write the album in 2016 after the last run of touring for their previous album A Skeletal Domain. When interviewed in 2017 drummer Paul Mazurkiewicz stated that the band never go by any specific blueprints when they start writing for an album, pointing out that this was also the case with Red Before Black. However, the idea of utilizing some slower doom elements was discussed beforehand. This manifested in a couple of songs, while they mostly remained true to their death metal sound and thrash metal roots.
Mazurkiewicz came up with the album title while sleeping in the middle of the night, making him wake up. Further down the road of creating the album, he said about the title "… I really pushed for it because I felt it was very strong and something very different than our previous titles. It’s simple but effective."
After hearing the song "Only One Will Die," penned by bassist Alex Webster, all members of the band thought it should be the first track of the album. The first song they worked on was "A Skeletal Domain." It started out as an unnamed piece written by guitarist Pat O'Brien with Mazurkiewicz contributing with a title and the lyrics later.
Choosing to work with Erik Rutan as a producer again after working with Mark Lewis on the previous album was partly because of convenience, enabling the band to stay focused during the recording process, although Rutan's previous work with the band was also a deciding factor.
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