The captivating realistic cover of "My Brother The Sissy" features a close-up of a slender, awkward 18-year-old boy with messy brown hair and a deeply conflicted expression. He's dressed in a pink, frilly dress adorned with lace, standing uncomfortably in a brightly lit school hallway. Lockers and blurred figures of other students form the backdrop, emphasizing his isolation. The title, "My Brother The Sissy," is emblazoned across the top in a bold, playful font with a hint of irony, perfectly capturing the story's blend of humor and discomfort. The lighting is dramatic, highlighting the boy's emotional turmoil.