The normal problems addressed are family problems, financial troubles and local community and social issues for resolving within the community group with the agreement of local ancestral god through oracle. Before the oracles deliver counselling messages, oracles stand on top the aruval (aruval Mel vakku). During the festivals, oracles get into trance state (Saami aadudhal) and deliver counselling messages to the group assembled there without bias. They undertake vradham and maintain chastity and purity during the period. Various persons within the clan system are identified to play to the role of oracle on annual turn basis. The local priest might offer flowers or vibuthi (holy ash) to the worshippers and may play the role of an oracle for Shamanism. The worship pattern is non- Vedic or non- Agamic through folk tales, songs and arts (Villu pattu, Karakattam, Koothu etc.). Most officiating priests are non- Brahmins and derive from local lineages that had initiated the cult generations ago. Karuppanar worship is a very ancient ancestral clan-based worship system. There could also be statues of 7 Kannimaar goddesses/Saptha Kanniyar (7 virgins) and animals, often a hunting dog, a lion and horse alongside the main idol of Karuppusami.
These temples/shrines do not have traditional Gopurams and have large statues of Gods with large eyes, holding weapons like bow and arrow, swords, sickle and other weapons.
Usually, the whole village contributes to the maintenance of the temple. KaruppuSami temple is mostly found in the outskirts of the Village.