Elohim is a Hebrew name for God. This picture illustrates the Book of Genesis:
‘And the Lord God formed man of the dust of the ground’.
Adam is shown growing out of the earth, a piece of which Elohim holds in his left hand. For Blake the God of the Old Testament was a false god. He believed the Fall of Man took place not in the Garden of Eden, but at the time of creation shown here, when man was dragged from the spiritual realm and made material.