In Tamil Nadu, Purana attam is often performed in temples and other religious venues, as it is believed to have originated as a form of devotional theatre. The performances are typically based on stories from the Hindu epics, such as the Ramayana and the Mahabharata, as well as other mythological tales.

Like its counterpart in Kerala, Purana attam is a highly stylized and elaborate art form, featuring intricate costumes, makeup, and sets. The performers use a range of expressive gestures and movements, including the use of hand gestures known as hastas, to convey emotion and meaning.