Italian heavy metal fans did not yet seem prepared to embrace local talent, however, and the next four years saw Extrema (by then entirely revamped, with Massara signing on new members Gianluca Perotti on vocals, Mattia Bigi on bass, and Chris Dalla Pellegrina on drums) relegated to open for visiting acts like Slayer, D.R.I., and Corrosion of Conformity.

Finally realizing that their only hope of impressing local talent scouts lay in marketing themselves abroad, Extrema started aggressively shopping their demos to international heavy metal critics, and even financed a trip to New York City for a one-off gig.

The result was the 1993's Tension at the Seams album, which led to stadium support slots with Italian rock star Vasco Rossi, and more importantly a high-profile metal festival appearance in Turin alongside Megadeth, The Cult, Suicidal Tendencies, and Metallica.

The album also featured an unconventional cover of The Police's Truth Hits Everybody and spawned a video clip for the track Child O' Boogaow which was on heavy rotation on Italy's MTV affiliate, Videomusic.

Capping off their most successful year, Extrema issued a six-track live EP entitled Proud, Powerful 'n' Alive, and then got right back on the road, playing upwards of 50 shows across Italy before signing with new label Flying Records and getting to work on their next album.