The music contained on "Blut, Milch und Thränen" was recorded somewhat unconventionally as two separate tracks, which were subdivided into several movements to correspond with the album's gripping narrative. With regard to this narrative, Kvelgeyst recounts the tale of an alchemist, beset by visions that leads him to search for an adept who in turn shall serve as the victim in a sinister ritual, hoping to achieve unio mystica. Initially, he is pleased, as he discovers an adept soon enough in the gutters. Regrettably for him, however, he is finally confronted with the realization that he has fatally misinterpreted his visions, and it is not he who sacrifices the adept in his pursuit of revelation, but rather he must serve as the sacrificial lamb in ritual slaughter, thus enabling the adept to achieve unio mystica. This, in turn, drives the adept into utter madness, rendering him free of all his senses and forcing him to the gutters from whence he emerged.