Part of the Masalembu Islands, it is its own administrative village (of Karamian) and is populated by about 4,000 people.

Karamian is surrounded by the Java Sea, being one of the most isolated inhabited regions of Sumenep Regency.

It is located over 200 km away from the regency's capital, with ships needing a 17-hour voyage to reach the island.

[2] It has no prominent geographical feature, with the highest elevation being just 7 meters above sea level.

[1] In 2015, the island has a population of 3,986 (Statistics Indonesia estimate) living in 1,657 households.