The reissue cover art is a picture of Allin from 13 years after the album's original release, taken backstage on the Jerry Springer set in the last year of his life.
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Thematically, while the lyrics are often intentionally lewd and snotty, these songs do not represent the extreme antisocial and violent tone of Allin's later releases from the mid-1980s onwards (though they are somewhat humorous).