The image is a close-up of a piece of paper with a black heart-shaped design on it. The heart is in the center of the paper and has a skull in the middle. The skull is facing towards the right side of the heart. Above the skull, there is text that reads "My Shame Is True" in a bold, sans-serif font. Below the heart, there are smaller text that read "Live at Aragon Ballroom Nov. 17". The paper appears to be slightly crumpled and torn, suggesting that it has been used before. The background is a wooden surface.