In May 2019, Megadeth went to Tennessee to start working on their next album. They hired Chris Rakestraw to help produce it. Rakestraw was also the producer for "Dystopia". On June 17, the band stated that the concerts they planned to play at would be cancelled. This was because a doctor told Mustaine he had throat cancer. Even with Mustaine's condition, the band said they would keep making the new album.