It is essentially the exact same design as we have already seen, only instead of crisp and luscious renders, we have a few blurry photos in low lighting that look like they were taken with a Fisher Price camera from K-Mart. Check out this shot of the rear of the Galaxy Note 10+...
Credit goes to Instagram user aaronthelegend._, who shared the photos with YouTuber TechTalkTV. The low quality nature of the photos leads me to believe this is a controlled 'leak' to drum up excitement about Samsung's upcoming flagship. I can't substantiate that with fact, it's just a hunch (and far from the first time that supposedly leaked photos arrived with an unusual amount of blurriness).
Quality of photos aside, we see Samsung sticking with a punch-hole cutout for the front-facing camera, placed at the top of the phone aligned in the center. It's a small circle, as opposed to the pill-shaped cutout on the Galaxy S10+.
We also see that Samsung is using the Galaxy Note 10+ nomenclature rather than Galaxy Note 10 Pro, both of which we have seen thrown around in previous leaks. This keeps the naming consistent with Samsung's Galaxy S10 family.
Finally, we can spot three rear cameras and an LED flash on the back of the phone. It's possible there is a fourth hidden behind the thumb in that photo, but if so, it is not part of the oval camera cutout—we can see it curving towards a close at the bottom.
If Samsung keeps consistent with last year's launch, the Galaxy Note 10 will make an introduction in August.