The cover art was taken from E. Elias Merhige's 1990 film Begotten.
...it's from a film, it was Roberto from Avantgarde who came up with the picture -- you know, he has kind of morbid tastes, and he was like "I've got a perfect picture for you!". It's from a movie called "Begotten", I think, and that picture is God committing suicide, and we thought "Whoa, this is cool", and I think it's very, very dark. It's kind of morbid!
- Jonas Renkse / Katatonia interview, Chronicles of Chaos, 2001
Watch Begotten below.