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Recorded in 1963 at the New Era Club in Nashville, James is captured at her performance peak. The foundation for her reputation as a fiery no-hold's-barred performer was firmly established in this recording.
The album was released on a 12-inch LP and consisted of ten tracks, with five of them on each side of the vinyl record. The album spawned the single, "Something's Got a Hold on Me" b/w "Waiting for Charlie to Come Home" which was written for Etta by Burt
"Every phrase, every word is attacked with an energy that commands respect. But beware, this young woman could take on the sweetest forms of a melancholy ballad and manage to achieve tenderness. At Last! Is one of the key soul albums of the early 1960's."