Sometimes he is dressed in the three robes like Shakyamuni Buddha, otherwise he is shown in sambhogakaya aspect adorned with silks and jewels and wearing a crown. Akshobhya represents the skandha of Form and the element of water. His celestial Pure Realm is known as Abhirati in Sanskrit and Ngön-pa Gah in Tibetan. Jetsun Milarepa and Sakya Pandita, among many others, went to Ngön-pa Gah at the time of death. 

In the Drukpa Kargyu tradition, the practice of Akshobhya is particularly emphasised, the lineage proceeding through Palden Atisha, especially for purification and as a ritual for the dead and dying.