The captivating realistic cover of "Middle Child" features a close-up of a worried teenage boy, shrunk to the size of an ant, standing on a giant, chaotic kitchen counter. Crumbs of food tower over him, resembling dangerous boulders. The blurry background shows a middle-aged woman with a messy bun hairstyle, seemingly oblivious, holding a spatula and engrossed in cooking. The oversized, floral-patterned apron emphasizes her indifference to the tiny figure in front of her. The title, "Middle Child," is scrawled in distressed, childlike font near the bottom, reflecting the protagonist's vulnerability and desperate plight.