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The original version of the CD has unique packaging. The disc is in a slimline "import single" style jewel case with a J-card insert. This case, along with a separate booklet, are housed in a slipcase with the album cover art on it. The cassette is housed in a slipcover with a spiral-fold J-card insert.
[[Image:Wound.jpg|thumb|"''Wound"'', the basis for the album cover]]
[[Image:TDSinnercover.jpg|thumb|''The Downward Spiral'' inner cover art]]
[[Image:Semaphoreofwings.jpg|thumb|"''The Semaphore of Wings"'', the basis for the booklet images]]
On his website[https://web.archive.org/web/20160304080842/https://www.russellmills.com/mills/installations/committere.html], [[Russell Mills]] explained the ideas and materials used for the paintings that became the album cover and the inner cover/J-card insert.
About "''Wound" '' (used for the album cover):
<blockquote>I had been thinking about making works that dealt with layers, physically, materially and conceptually. I wanted to produce works that were about both exposure and revealing and at the same dealt with closure and covering. Given the nature of the lyrics and the power of the music I was working with, I felt justified in attempting to make works that alluded to the apparently contradictory imagery of pain and healing. I wanted to make beautiful surfaces that partially revealed the visceral rawness of open wounds beneath. The mixed media work Wound was the first piece I tackled in this vein (no pun intended) and it became the cover of the album. It is made of plaster, acrylics, oils, rusted metals, insects, moths, blood (mine), wax, varnishes, and surgical bandaging on a wooden panel.</blockquote>
About "''Future Echoes" '' (used for the inner cover):
<blockquote>At the time of this commission I had also been reading and researching into ideas about transformation, transmutation and regeneration. I was interested in how a line of willow poles used as fence posts could come back to life to start growing as trees again (Rupert Sheldrake). Similarly Seamus Heaney’s poem ‘Requiem for the Croppies’ which relates to a true event in Irish history filled me with tears and wonder. In it Heaney describes how during the early part of the 20th century a group of farmers to the North of Dublin gathered in a field to march on Dublin to protest at yet more draconian taxes being imposed by the occupying English powers. The English had been tipped off and were in place hiding around the field where the farmers met. The farmers were ambushed, shot down and buried in a mass grave. The farmers had in their pockets barley seeds to chew on during the proposed march. The following year a crop of barley sprang up out of the grave where they had fell. At the back of my mind were also thoughts of the rebuilding of Europe after the 2nd World War, physically and politically. I remembered seeing film footage of women in Berlin, scavenging for bricks in the ruins, creating a daisy chain, passing bricks from one to the other in order to rebuild new houses out of the debris.
The piece I made focuses on teeth and their associative potential. A row of teeth is embedded in flows of salt crystals. Salt corrodes all but gold and glass; it is destructive as well as preservative.</blockquote>
The booklet contains closeup photos of a piece entitled "''The Semaphore of Wings"'', which was made with plaster, acrylics, oils, wax, earth, blood, insects, wires, and feathers on a wooden panel.[https://www.russellmills.com/art-1990s/] The typeface used on the album is DINEngschrift in lowercase (the same typeface was used on ''[[Hesitation Marks]]'' and in all caps on ''[[The Perfect Drug (halo)|The Perfect Drug]]''.)
The artwork was re-photographed by [[Rob Sheridan]] for the 2004 reissue. Reflecting on the experience in 2019, he stated:
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