The bisanthraquinone antibiotic BE-43472B [(+)-1] was isolated by Rowley and coworkers from a streptomycete strain found in a green algae associated with the ascidian Ecteinascidia turbinata and has shown promising antibacterial activity against clinically derived isolates of methicillin-susceptible, methicillin-resistant, and tetracyclin-resistant Staphylococcus aureus (MSSA, MRSA, and TRSA, respectively), and vancomycin-resistant Enterococcus faecalis (VRE). Described herein is the first total synthesis of both enantiomers of this bisanthraquinone antibiotic, the determination of its absolute configuration, as well as the biological evaluation of these and related compounds. The developed synthesis relies on a highly efficient cascade sequence involving an intermolecular Diels–Alder reaction between diene (R)-61 and dienophile 55 followed by an intramolecular nucleophilic aromatic ipso substitution. Late stage transformations included a remarkable photochemical α,β-epoxyketone rearrangement [80 → (+)-1]. Interestingly, the unnatural enantiomer [(–)-1] of antibiotic BE-43472B exhibited comparable antibacterial properties to those of the natural enantiomer [(+)-1].