The middle bottom row image is adapted from a painting entitled "Despair" by Perham Nahl.[https://archive.org/details/artincalifornias00port/page/n175/mode/2up] The computer chip, within the fifth box, appears to be an image of the [https://en.wikipedia.org/wiki/Intel_4004 Intel 4004 CPU].
In an interview with ''Rolling Stone''[https://www.rollingstone.com/music/music-news/nine-inch-nails-atticus-ross-talks-stage-fright-and-trent-reznors-musical-genius-702117/ interview] with ''Rolling Stone'', Atticus commented: "There's a primitive aspect or reflection of who we are in these times on there. It seems like we've been led. And I think we implied that in the cover, staring at shadows on the wall."
In an interview with Covet The Cover on Instagram[https://www.instagram.com/covet_the_cover/p/C4OmwiFLpJo/?img_index=1 interview] with covet_the_cover on Instagram, designer Hassan Rahim elaborated more on the design process:
<blockquote>"Trent provided two key words: primitive spirituality," says Rahim. The NIN frontman Reznor went on to say that ''Bad Witch'' represented "not literally witchcraft but the unexplainable, magic, nature, belief… not in the scientific kind of way but the unknowable, what’s beyond the threshold of death."