It depicts the heroine Isabella caressing the basil pot in which she had buried the severed head of her murdered lover Lorenzo.
The drawing portrayed a very different scene, depicting Lorenzo as a clerk at work while Isabella's brothers study their accounts and order around underlings.
His sensuous painting Il Dolce Far Niente (roughly translated: the sweetness of doing nothing) had sold quickly, and he conceived the idea for a new work depicting Isabella.
The painting portrays Isabella, unable to sleep, dressed in a semi-transparent nightgown, having just left her bed, which is visible with the cover turned over in the background.
Her abundant hair flows over the pot and around the flourishing plant, reflecting Keats's words that Isabella "hung over her sweet Basil evermore,/And moistened it with tears unto the core."