It features a wheelchair athlete striving forward on a running track with 10 semi-arc lines and resembling surging Qiantang River tides.

[14] She displays a pattern of the Liangzhu Culture around her body from wings to cheeks and the letter "i" on her crown representing intelligence and Hangzhou as the City of Internet, which blinks when she is happy or playing sports.

Her chest features a ring of 45 dots which represents the Asian Paralympic Committee's (APC) members, with the Games logo in the centre.

[16] On 14 July 2023, the 100-day countdown to the 4th Asian Para Games, the medal design named "Osmanthus Grace" (Chinese: 桂子; pinyin: Guìzǐ) was released.

Its name was derived from a Tang lyric poem composed by the poet-governor of Hangzhou a thousand years ago, one line of which goes, "Around mountain temples, I search for osmanthus blooms falling from the moon" (Chinese: 山寺月中寻桂子; pinyin: Shānsì yuè zhōng xún guìzǐ).

The medal design was a combination of two different Jades: round green Bi and yellow square Cong in the Liangzhu culture, respectively associated with heaven and earth.

The flame arrived in Zhejiang province after one week later after a train trip and the relay had three days duration and was used to lit the cauldron Hangzhou Sports Park Stadium on 22 October.

It was attended by Chinese Vice Premier Ding Xuexiang, some Asian foreign leaders and the President of the International Paralympic Committee, Andrew Parsons.

[123][124] North Korea withdrew from the games after the Asian Paralympic Committee refused to allow it to use their national symbols in compliance with sanctions by the World Anti-Doping Agency (WADA).

This is in contrast with the 2022 Asian Games where North Korea was allowed to use its symbols by the Olympic Council of Asia in spite of the WADA sanctions.