On the recording, Coltrane and Pharoah Sanders performs intense and lengthy, though poorly recorded, solos. Sonically, the album is notable for its overwhelming din of multiple drummers.
Rumors of Coltrane being deathly ill and unable to stand during the gig are dispelled in Lewis Porter's John Coltrane: His Life and Music. Rashied Ali opines that Coltrane might have simply been tired that day. It was not until May—about a month after this show—that Coltrane began to complain of intense abdominal pain; he died two months after that, in July. The Olatunji Concert was not Coltrane's last show, but rather, his penultimate—he would play one more on May 7, 1967, in Baltimore.