Gramscian scholars have engaged with Gramsci’s leitmotif (‘rhythm of thought’) and the stato integrale (integral state), a concept he introduced in Autumn 1930. This represents remarkable progress in the Marxist community. But what requires further attention is the interconnection between an integral state and a totalitarian one, two of the three expressions of state-society formations that Perry Anderson identified as Gramsci’s antinomies. This article argues that the integral state is fragile but hegemonic if it can be sustained. Otherwise, it can degenerate into a totalitarian state. The article refigures the ‘integral state’ as the ‘integral state-society’. It exists relatively, depending on whether the ‘integral momentum’ or the ‘totalitarian tendency’ prevails in a dynamic interaction between radical Left, Far Right, and those currents in between. Identifying this relativity helps to formulate a deeper understanding of Gramsci’s thought and show how his legacy supports a class struggle perspective on the COVID-19 interregnum.