The artwork for Blackstar was designed by Jonathan Barnbrook, who had designed the artwork for Bowie's Heathen, Reality and The Next Day. The CD cover is adorned with a large black star on a plain white background, with the five star segments below the main star forming the word BOWIE in stylised letters. The vinyl cover, in black, features the star as a cutout section, revealing the record (with an all-black picture label) beneath it. Music journalists also noted that a "black star lesion," usually found inside a breast, suggests to medical practitioners evidence of certain types of cancer.