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The cover art bears a resemblance to John Lennon's Some Time in New York City, an album that contains Lennon's controversial "Woman Is the Nigger of the World", a song Axl cited when he defended his use of the word "nigger" in "One in a Million".
The album also includes a live session with John Lennon and Yoko Ono — an alternate mix of which appears on Lennon's Some Time in New York City (1972).
Following a relapse of his illness, he was able to return to the theatre and in the early 1920s spent some time in New York City where he produced a play on Broadway starring John Barrymore.