The original cover features a naked, bare-breasted woman laying in a field. It was changed to a plain white cover resembling The White Album due to the death of Marissa Mathy-Zvaifler, a 16 year old girl who was murdered by a janitor during an Atmosphere show in Albuquerque, NM on July 16, 2003. The janitor, convicted pedophile Dominic Akers, had led the girl backstage, claiming he would allow her to meet vocalist Sean Daley (aka Slug). Slug dedicates the album to Zvaifler in the liner notes, and later wrote about the incident and his reaction in a song entitled "That Night," which appears on the 2005 album You Can't Imagine How Much Fun We're Having. Slug would later describe the song as one he 'wasn't supposed to write' and marks the 2005 album as a whole as a beginning point of more positive storytelling in his music.
On December 10, 2013, 3,000 limited edition vinyl pressings were released in celebration of the album's tenth anniversary. It uses the album's original cover art and contains bonus tracks.