An unusual manifestation of the Bodhisattva of Compassion, Avalokitesvara here appears as Shrishtikanta Lokeshvara, “Beautiful Creation Lord of the World,” a form unique to Nepalese Buddhism. Shrishtikanta emanates the entire pantheon of Hindu and Buddhist deities, here indicated by the golden threads that lead to numerous beings in clouds that surround the multiarmed and multiheaded central figure. Shrishtikanta stands on a lotus floating in a river, above a large fish, and holds a white lotus flower in one of the principle hands, while the other makes the gesture of charity. The innermost layer of subsidiary arms holds white lotus, the next three layers hold deities and animal gods, while the outermost layer of hands holds various attributes. A crowned Bodhisattva surmounts the eleven rows of heads.

In the foreground the patron of the painting is shown along with male members of his family, surrounded by ritual offerings and worshipping at a large fire. Nagarajas and other water divinities in the river have come to worship at the foot of Shrishtikanta. In the simple green landscape, the elephant-headed Ganesha, remover of obstacles, and sword-wielding Hayagriva, an incarnation of Vishnu, are shown.