The mixtape's cover art is a photograph of a porn actress Lethal Lipps drinking a bottle and putting her hand down her dress while Mr. Muthafuckin' eXquire passes out in a bathtub in the background.[4] It was shot on the day his grandmother had a stroke and almost died.[4] He drank a lot of Cîroc and passed out in a bathtub in his house.[4] In a 2012 interview with Billboard, he said, "That picture is really about how fucked up my life was at that time."[4]
Phillip Mlynar of The Village Voice described the mixtape as "an off-kilter gem that harnesses the uncompromising attitude of Ol' Dirty Bastard (more on that later) with the chops of someone who can rhyme his ass off."[7]
Stereogum named it the mixtape of the week.[8] In November 2011, Brandon Soderberg of Spin included it on the "50 Mixtapes You Need Now" list.[9] Alex Gale of Complex placed it at number 6 on the "25 Best Mixtapes of 2011" list.[10]
"The Last Huzzah!" was placed at number 46 on Rolling Stone's "50 Best Singles of 2011" list,[11] number 30 on Consequence of Sound's "Top 50 Songs of 2011" list,[12] and number 59 on Pitchfork's "Top 100 Tracks of 2011" list.[13]