As such they may include texts explaining a miracle attributed to the helper, or symbols such as a painted or modeled reproduction of a miraculously healed body part, or a directly related item such as a crutch given by a person formerly lame.
Other examples may be large and grand paintings, such as Titian's Jacopo Pesaro being presented by Pope Alexander VI to Saint Peter, given in thanks for a naval victory.
In Venice it became the custom in the Renaissance for the higher officials, beginning with the Doge, to commission (at their personal expense) an ex-voto painting in the form of a portrait of themselves with religious figures, usually the Virgin or saints, in thanks for achieving their office.
In the church of Notre-Dame de la Garde in Marseille, France, the site of a major local pilgrimage, the ex-votos include paintings, plaques, model ships, war medals and even football shirts given by players and supporters of Olympique de Marseille, the local team.
[5] In the long Votive Chapel of Saint Joseph's Oratory in Montreal, there are fixed on iron grilles hundreds of crutches, canes and braces left behind by pilgrims who claimed to have received a healing while meeting with Brother André, CSC.