Variations in Relief: The relief, or the height of the design elements above the coin’s surface, can vary significantly across the surface of a tilted die coin. The side closer to the correct die alignment will typically have a higher relief compared to the opposite side.
Misaligned Designs: In extreme cases, the designs on the obverse and reverse sides of the coin may not align correctly. This misalignment is directly attributable to the die tilt and can be quite pronounced, making it one of the more easily recognized symptoms of this error.