[2] Reports soon began among the people of Atocha that an unknown child under the age of twelve and dressed in pilgrim's clothing had begun to bring food to childless prisoners at night.

The women of the town returned to Our Lady of Atocha to thank the Virgin for her intercession and noticed that the shoes worn by the Infant Jesus were tattered and dusty.

On the cloak he wears a Shell of Saint James, the symbol of the pilgrims to the Shrine of Santiago de Compostela in northwestern Spain.

During dire points in their journey, travelers reported that a young boy, dressed as a pilgrim, would come to them bringing food and other necessities.

There is a shrine run by the Poor Clares, dedicated to Niño de Atocha at Plateros, near the city of Fresnillo, in the state of Zacatecas, Mexico.

The wives of the miners went to the church of St. Augustine to pray for their husbands and noticed that the child on the image of Our Lady of Atocha was missing.

[9] The local variant, simply known as Santo Niño de Palaboy (Holy Child, the Wandering Beggar), is portrayed very similarly to the Spanish Atocha, except that it is always standing rather than sitting.

He bears a staff with an attached bag or basket, which is usually filled with coins or candy, and he dons a pilgrim hat resembling the Atocha image.

In addition, many Filipinos customarily dress the Santo Niño in modern attire that reflects their professional roles, such as nurses, doctors, janitors, teachers, and policemen, as a means of asking for his patronage.

These customs relating to dress are also applied to replicas of the Santo Niño de Cebu, brought by Ferdinand Magellan to the islands in 1521, and the Infant Jesus of Prague.

The Colombian television historical drama Escobar, el Patrón del Mal features references to the Holy Infant of Atocha.

In season 3 episode 17 of The Last Man on Earth, Todd says a prayer to El Santo Niño de Atocha while delivering Erica’s baby.