Alongside the disturbing image, the cover states: "Der Doppelregent: wie viel putin steckt in Trump?"
This roughly translates to:
How much of Putin is in Trump?
This is of course referencing the ties the Trump administration have with Russia - Attorney General Jeff Sessions recently recused himself from an investigation into this matter after it was revealed he voluntarily misled senators under oath.
The magazine has been a consistent critic of Trump.