Is the only difference between a North American and Middle East/Southeast Asia copy of a game just the cover art on the case?

I purchased a new copy of Metroid Dread and noticed it had a weird green triangle on the back and said “Middle East” and “Southeast Asia” on it. The cartridge works and does say “USA” on it, and the serial on the sticker matches the printed one on the back of the cartridge. It seems authentic to me.

Is the only difference literally just the cover art on the back, or am I missing something? I looked up these copies of different games online and they seem to always sell for a bit less. Older posts on this sub said they’re valued “significantly less” as well. I did pay full price for this, but only $10 more. Not really a big deal…but what’s the actual difference if it’s the USA game in the box? Like why would anyone pay more for a North American copy if it’s just the cover art on the back? What am I missing here?

I don’t resell my games so I honestly don’t care about it retaining value or whatever. I’m asking because I’m going to start buying these copies now to save a few bucks if there’s literally no difference in the actual game.