The album cover features a monochrome photograph of Ozzy Osbourne with hands raised throwing the peace sign, taken during a Black Sabbath concert at Birmingham Town Hall in January 1972 by Keith Macmillan (credited as Keef). The album's original release (on Vertigo in the UK, on Warner Bros. in the United States and on Nippon Phonogram in Japan) features a gatefold sleeve with a page glued into the middle. Each band member is given his own photo page, with the band on-stage at the very centre. All photos were from the aforementioned Birmingham gig.