The digipak uses dark imagery and colors to depict the themes of illness, death, and suffering explored in the album. Skeletal figures marching in a "Black Parade" represent the inevitable march to death. When opened, the booklet contains posters, lyrics styled as newspaper articles, and images that continue the narrative of journeying to death. Recurring motifs like a red string and the band themselves standing tall amidst the parade suggest resisting and shedding light on issues. Overall, the digipak's visuals and presentation synergistically reinforce the album's themes through Gothic, Victorian influences.