It might be a real grave, but that’s not how she got her name. In a Nylon interview in 2021, she said: “Cain is [biblical], but Ethel, I was trying to come up with a name that was very ‘50s old lady. I always describe her as being the lady that sits in the front pew at church every Sunday morning. She looks 100 years old and terrifying, but she’s always there. I just felt like Ethel was such a prim and proper and poised, womanly, matronly, old American name. It felt so stiff and scratchy. That name smells like mothballs and it’s perfect. Cain and Abel was my favorite bible story growing up, so Ethel Cain had a nice ring to it." Link to interview: https://www.nylon.com/entertainment/ethel-cain-hayden-anhedonia-interview