"The album cover is a graphic picture of member Bushwick Bill in the hospital. Bill was shot in the eye as he and his girlfriend tussled over a gun. Bushwick Bill wanted her to kill him and during the altercation he was shot as both hands were on the gun.[3] The other two Geto Boys members and the group’s management team took Bill out of the hospital room in order to take the picture, removing his eyepatch and intravenous drip in the process. Bill later expressed regret over the album cover, saying, “It still hurts me to look at that cover because that was a personal thing I went through… I still feel the pain from the fact I’ve got a bullet in my brain… I think it was pretty wrong to do it, even though I went along with the program at first.”

Wikipedia