The surrealist and abstract images throughout the album booklet are linked to the album's content. "Gouge Away" is represented by a picture of a spoon containing hair, laid across a woman's torso; a direct pictorial representation of heroin, with the spoon and the hair being horses. The image "As Loud As Hell" shows "a ringing bell", with a set of teeth; this alludes to the line "it shakes my teeth" in the song "I Bleed". "Walking with the Crustaceans" is a visual representation of the lyrics to "Wave of Mutilation". Larbalestier later commented that he was interested in "early Surrealist stuff" at this time.