The image features a stylized graphic with a black and white color scheme. The central text reads "SLING PILLS TO PAY THE BILLS," which is a play on the phrase "slung shots to pay the bills." The text is arranged in a way that the words "SLING PILLS" are larger and more prominent than the rest of the text. The word "PILLS" is emphasized by being larger and more stylized than the other words. Scattered around the text are various pills and a syringe, which are likely intended to visually represent the concept of taking pills to pay bills. The pills are depicted in a simplified, cartoon-like style, and the syringe is also stylized. The overall style of the image is reminiscent of a hand-drawn or hand-lettered design, with the text and elements having a hand-drawn quality. The image appears to be a creative or artistic representation of the concept of working hard to make ends meet.