Kieth's art and characters have appeared in a range of comics, and they often demonstrate the kind of intelligent storytelling and strange characters Gaiman's fans love. Even in a visual medium, comic artists don't always get their due credit as storytellers. Kieth's work always has a lot to offer for new readers.
In interviews, Kieth has downplayed the quality of his Sandman work, but he was Neil Gaiman's and Vertigo founder Karen Berger's first choice. In August 2022, Forbes.com quoted Berger: "We were looking for an artist who had a really good, illustrative line and was good with shadows, and it's always tough to find artists who can draw a monthly book. We looked as a bunch of people's stuff, and both independently came up with Sam Kieth."
Despite Kieth's mixed feelings about his art from those early issues of Sandman, he left his imprint on Morpheus's design and the book's overall tone. As millions of viewers have witnessed, the Netflix series has preserved Kieth's dark vision of the Endless and his love of shadows.