The album cover for The Vertigo of Bliss was designed by comic book artist Milo Manara.

Despite raising some controversy, the artwork was praised by music magazine ShortList who named it in their list of "The 50 Coolest Album Covers Ever", explaining that the "erotic and controversial" cover "only endeared [Biffy] more to the small but loyal fanbase they were beginning to cultivate".

[2] In an interview with ShortList, Neil said of the cover "we got quite a bad reaction to that artwork when it first came out [...] that was our first kind of lesson learned that perhaps not everyone shares your perspective on life, or what you value as art, because we were naive enough to be taken by surprise, and then I was naive enough that when people started saying, "Oh this is fucking schoolboy shit," I got really annoyed because I was like, "It's so not that – you're actually being schoolboy here by judging it on just a shallow level.

"[4] Writing for newspaper The Guardian, Betty Clarke awarded the album four out of five stars, calling it "inventive and sublime".

[5] Mark Robertson of The List wrote, "Taking a teen obsession for G N'R and grunge and bonding it to a sense of incurable romanticism, they create something both tender and terror-filled.