The cover of Visions was not handed off to an outside art department after the music was finished. Claire Boucher, who records as Grimes, made the artwork herself, treating the visual side of the project as another part of the same creative system.

In interviews around the album, Boucher described wanting the cover to be both beautiful and assaulting, something dense enough to examine in detail rather than understand instantly. She compared the desired effect to a Bosch painting: crowded, strange, movement-heavy and full of things that reveal themselves only after the first glance.

She worked quickly. Boucher has said the main cover image took roughly sixteen hours over two days. The speed matters because the finished drawing does not feel polished into sterility. It feels accumulated: skull-like forms, eyes, lettering, ribbons, hearts and other recurring symbols overlap in a hand-made field that is closer to a notebook, medieval panel and cyberpunk poster fused together than to conventional pop packaging.

Boucher also described the visual inspirations behind Visions as a mixture of science fiction, cyberpunk, anime and older art. She named films and works including Blade Runner, The Fifth Element and Neon Genesis Evangelion, while citing Hieronymus Bosch and Charles Burns as important visual influences. Those references help explain why the cover feels both futuristic and archaic.

The wider package added more collaborative elements. Designer Jasper Baydala helped assemble the layouts, and the back artwork incorporated a large alien head sourced with permission from artist Mark Khair. Boucher's hand-drawn imagery remained the center of the identity, but the final package became a layered collaboration rather than a single isolated illustration.

That approach matched how she talked about Grimes at the time: not simply as a music project, but as an audio-visual one. The cover was therefore not an attempt to summarize Visions after the fact. It was part of the same world-building impulse that produced the songs.