My guess: I doubt it.
I mean, when was the last time you saw a North American game box that featured a man crawling out of a woman's cleavage, or a man clawing his way into a woman's pants?
The former will be front-and-center on the Japanese PS3 cover (below) of Atlus' adult-ish action-adventure game, Catherine, while the latter will grace the cover (see it here) of the Xbox 360 version of the game. (Both will be released in Japan on Feb. 17.)
All that said, both of the images mentioned above are more likely to be attached to the American and European versions of the game than this promotional illustration.