The album cover is one of the very few Cannibal Corpse album covers to not feature explicit graphic violence. Alex Webster, in an interview, stated that they decided to have an album cover such as this because all the band members couldn't agree on a cover for the album. Also he stated that they wanted their fans to focus on their music and not to be distracted by a violent cover. He stated "this time they wanted to do something different."
"The original art that Vince [Locke] gave us was really cool, but we didn't think it would make the best cover. We decided to use it as interior art, and just have a simple band logo/album title type cover. The main focus of our band should be music anyway, so I don't think it's a big deal that the cover's not a blood soaked scene of carnage the way our others have been. This doesn't mean we won't have more bloody covers in the future though."
The album has been received quite positively by critics: Allmusic gave it a 3.5 out of 5 rating, stating that "Kill doesn't break any new ground for the veteran sickos, but if it ain't broke don't fix it -- just turn it up louder", while also commenting that the songs are "13 aural assaults that will be welcomed by fans with open mouths";About.com gave it a 4.5 out of 5 rating, with the only pros being "brutal, devastating death metal" and no cons.