She is primarily a self-taught painter. She states that God spoke to her when she was four years old, encouraging her to paint and draw her visions. Her parents were atheists at the time (they later converted to Christianity because of Kramarik's paintings and visions). She started drawing at the age of four, and advanced to painting at six, and writing poetry at seven. Her first completed self-portrait sold for US$10,000. A portion of the money generated from sales is donated by Kramarik to charities. According to Kramarik, her art is inspired by her visions of heaven, and her personal connection with God. Her art depicts life, landscape, and people.