McCracken said the album's artwork features "blood hearts, weeping trees and bony monsters", which were drawn by Alex Pardee. The band were fans of his work and upon contacting him, he was enthusiastic about working with them. He visited the group, heard some of the songs and "didn't hold anything back. And that's why his artwork is so connected with these songs". Allman said the style of it was "really noisy and really splotchy. There's a lot of character and a lot of sweetness to it, but it's also plenty dark". To promote the album, the band appeared on "Jimmy Kimmel Live!", and went on a series of in-store acoustic performances and signings. On October 6, the album was released in Japan with a bonus track, "The Back of Your Mouth". In October and November, the band went on a headlining tour of the US with Head Automatica, Atreyu, The Bronx, and The Bled supporting on select dates.