The People of the pocket realm of Brocschtal are simple folk who live as they have for thousands of years. Farming the land, raising sheep, getting in the occasional brawl. And fighting off the infernal attacks of ghouls.
A culture has it forbidden to say their rulers name under penalty of death. Anybody in power must be referred to as their title. Comes from the fact that the rule or position can be taken over by anybody from any level in society. To use the title elevates them or brings them down from whatever level they were originally at before they took the position. Respect and authority comes from the position, not from previous life.