The cover art, like the cover of Goat’s Head Soup, featured Mick Jagger on the front and Keith Richards on the back. No images of Bill Wyman, Charlie Watts, or Ron Wood are found anywhere on the album. Jagger is covered in tribal tattoos and set against a bold red background with the band name and album title above. The labyrinth of tattoos was illustrated by Christian Piper [using photographs by Hubert Kretzschmar as the basis]. […] A great many people did not recognize the face as Jagger’s and more than a few wondered who the ‘woman’ on the cover was. […] Asked why only two Stones appeared on the album Kretzschmar said, “It was a decision that Mick and Keith must have made. I remember Charlie was at the photo shoot with both of them, no effort was made to get him to pose or be part of it.

According to Kretzschmar,

Peter Corriston’s claim that he originated the concept, is […] not true. Peter had a typesetter who set a few title type variations, which was the extent of his alleged design.