The back design is a visual representation of the chorus of the track, "drop and give me 50," and the entire narrative around the beef. Rumor has it that Future dissed Drake after discovering Drake slept with his girl. The phrase "drop and give me 50" is also slang for picking up hookers, implying "drop down and give a blowjob for 50 dollars." The design shows Drake sitting on a chair while a girl kneels in front of him. In focus is a table with a stack of cash divided into two equal halves. On one bundle lies Kendrick’s throne, and on the other, a business card of TDE, showcasing the other meaning of the track where Drake accuses Kendrick of splitting his profits with TDE as per their deal.

The front of the t-shirt is where the drama unfolds. The design features Drake's album art, but with a twist. It mocks Kendrick Lamar by highlighting his shoe size—a subtle yet sharp jab at Kendrick's persona. This element alone speaks volumes about Drake's knack for blending humor with provocation in his disses.

Overlaying the album art is an illustration of Kendrick doing push-ups. This is a direct visual representation of the track's title, "Push Ups," signifying Drake's challenge to Kendrick's dominance in the rap game. The imagery is powerful and clear: Drake sees Kendrick's attempts to elevate himself as merely exercises in futility.