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The title, "DYSTOPIA: MIDWIFE, ABORTED," is boldly printed at the top in large, high-contrast lettering with a futuristic typeface. The subtitle evokes a dark twist on the themes of creation and destruction.

The full-page image below the title is a dramatic, stylized cover of the first page in this chapter of the Dystopia webcomic. The central figure, a "midwife" appears to be some type of female synthetic humanoid with pale grey skin and wearing a light blue body suit, including a mask-like face and connection nodes on top of the head. The expression is cold and emotionless, with glowing cyan eyes staring at a reflection in a metallic table… directly at the viewer.

The mirror-like surface is covered with intense splatters of red blood, starkly contrasting with the sterile silver of the metallic surface behind the midwife's reflection. The blood is spread across the background and over the figure’s body, implying a violent or tragic event. Behind the metallic surface is a blurred library-like backdrop, with shelves of books and files that hint at stored knowledge and medical records.