The cover featured a topless pubescent girl, holding in her hands a silver space ship, which some perceived as phallic.The image was replaced with a black background cover which blacked out the hair. The album cover's depiction of pubic hair, taken from an issue of Hustler magazine, caused controversy.
Despite being considered offensive and sexist by some, ShortList magazine praised the band for their bravery and originality when they mentioned it in their list of "50 Coolest Album Covers Ever". The controversy of the album cover is accompanied by the erotic artwork of the singles " The Ideal Height", " Questions and Answers" and " Eradicate the Doubt" (all designed by Milo Manara).
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With her head tilted back, Xen displays her broad shoulders, breasts, and large hips on the album cover with her skin rippling "as if about to peel and fall off." Even though no genitals appear, Spotify and iTunes pixelate the area, as well as the breasts.
The album features a portrait of the original Alice Cooper band, with frontman Alice Cooper posed with his thumb protruding from underneath his cape as if it were his penis.