The album's overall sound is more influenced by folk music and pagan metal than the band's previous releases, with most compositions consisting of two or more interlocking movements.

The album is dedicated to Stepan Bandera, former leader of the Organization of Ukrainian Nationalists[citation needed].

Several tracks also sample the Ukrainian poetic film Mamay (2003), and for this reason Blood in Our Wells has been described as "more cinematic" than its predecessors.

The inlay cover of the CD edition contains the text of a 1957 patriotic poem of Ukrainian poet Vasyl Symonenko.

It was the first Drudkh record to appear in Terrorizer Top 40 year list, achieving the 35th position.