Tim Smith denied that the album title, "Sing to God", was a reference to faith. He said that the album was named it "merely because Cardiacs keyboardist Bill Drake had this little kid-hymn book and it was called "Sing to God" and we thought it was a nice title." He said that "it's just if the word "Jesus" appears the album's lyrics, it's just because it mentions Jesus in the same way that anyone's name would appear." The album cover, featuring the band's disembodied heads floating against a dark night sky dotted with stars, was inspired by "Night of the Hunter". Sean Kitching of "The Quietus" said that "the creepy fairytale atmosphere" of the film "makes it an entirely appropriate image that resonates perfectly with the album's overall vibe. The fact that the band members' eyes are all rendered artificially larger, suggesting wide-eyed children, or perhaps adults returned to that beatific state by the administration of some pharmaceutical philtre, also attests to the truly psychedelic nature of the sounds contained within."