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The title comes from a joining of the two phrases hot dog, a snack, and dogma, a specific religious belief.
The cover of the album features what appear to be Chinese Red Guards carrying a large banner with TISM written across it and carrying what, on first look, appears to be Mao Zedong's Little Red Book, but is on closer inspection The TISM Guide To Little Aesthetics. The artwork closely resembled posters of the time of Mao's reign.
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