Sam chronicles some of their pre- pandemic and -2020 lockdown life, coping with a mental health backlash of the tumultuous end of a relationship. The front cover is made up of red marker scribbles and an illustration of a girl with strained eyes and an inflated head, with the title in black bubble letters and thin black handwritten letters with white blocks. Text is collaged against a red markered backdrop alongside sharpie and pen drawings of ominous, deformed figures also found on the back cover; the inside back cover collages Sam’s January 2021 medication regimen calendar.