On the inside of the left membrane, called Mankhah (Haima in Bhaktapur)[2] a red tuning paste (similar in function to the Syahi) is applicated, providing a deep sound.

The smaller ones are called "Dhaacha Dhimay" and bigger dhimay are called "Ma Dhimay"[3] The left side (Mankhah) is played directly by hand playing either at the upper part of the membrane (ghe), producing a long resonating sound, or a downward stroke (kha), producing a sharp crisp sound.

The right membrane, called Nasah, is played with a thin stick, made of cane, which is normally curved at one end.

In Dhimay-ensembles, called Dhimaybaja, the drum is accompanied by cymbals like Bhuchhyay, Sichhyay, and sometimes by Tai-nai, a gong-like instrument.

Recently, with musicians looking for new ways to develop popular music with its roots in traditional music, the Dhimay is played as a sort of bass drum, accompanying western instruments like guitar.