In Vietnamese Buddhism, he is frequently identified with Śakra (Đế Thích Thiên; 帝釋天).

Trời is an incomparable power above, making everything: the earth, the mountains, the rivers, the sea, the rain, and the sun.

Every time Trời is angry with humans for making mistakes in the world, natural disasters will be sent: storms, floods, droughts...

The Ngọc Hoàng used the residue left in heaven and earth to mold all kinds of animals, from the big ones to the small ones like bugs.

Tây Vương Mẫu has a garden of Bàn Đào, the fruit ripens once every three thousand years when eaten, it gives birth to immortality, often used to prepare feasts for the gods in heaven.

The Ngọc Hoàng is always dressed in imperial attire, a shirt embroidered with a golden dragon, a hat with red tassels on his head, leading thirteen five-colored pearls, and holding hốt in hand.

The Ngọc Hoàng sits on the throne to touch the dragon each time he meets the dynasty, and deals with things in heaven or on earth.

In South and Central Vietnam, families often worship him at an outdoor altar called Bàn Thiên.