In Chinese Buddhism, he is usually portrayed as a woman, with a likeness similar to Avalokiteśvara. He is also one of the Japanese Thirteen Buddhas in Shingon. In Tibetan Buddhism (Tantrism), Mahāsthāmaprāpta is equated with Vajrapani, who is one of his incarnations and was known as the Protector of the Buddha.
Mahāsthāmaprāpta is one of the oldest bodhisattvas and is regarded as powerful, especially in the Pure Land school, where he takes an important role in the long Sutra of Infinite Life. He is also associated with the temple guardians Kongo Rikishi across Japan.