Al-Bakri gives an account of the amphitheatre in the 11th century, where he describes the monument as "[the] most wonderful Carthage: This building is composed of a circle of arches supported by columns and topped by other things similar to the forefront arcades.

On the walls of this building, we see pictures representing animals [...] can be distinguished figures that symbolize the winds: the East looks smiling, and the West has a frowning face".

In 1887, a cross was erected in the center in memory of the martyrdom of Christians[4] including Perpetua and Felicity.

The modern construction of a chapel dedicated to the two holy women disrupted basement facilities in the amphitheatre.

This is one of three African amphitheatres to have been built atop flat ground rather than on a hill, the others being El Jem and Thapsus.