In 1742 and 1753 the nearby places namely, Kayamkulam and Ambalapuzha was added to the Karthikappally Natturajyam, making it a prominent region since then.

[2] What made Karthikappally the most unusual and important was the proximity of an inland waterway or a Thodu which enabled free flow of traffic and evolved Karthikappally into a Trading center.

[citation needed] Many Iconic landmarks were constructed in Karthikappally, which stands as testimonials to the great heritage of this place.

Pithampil sree dharma sastha Temple, Pithampil Kottaram, The St. Thomas Orthodox Cathedral or the Kottakakatthu Suriyani Palli, Mar Thoma Church, St Mary's Catholic Church, Karumbali Koikkal Kottaram, Karthikappally Kottaram, Valiyakulangara Devi Temple, Kottaram Mudiyil Shri KrishnaSwami Kshetram, VathaloorKolical Kshetram, The Haripad Sree Subrahmanya Swamy Temple or Kshetram and the centuries-old mosques in Karthikappally are also famous.

The Ananthapuram Kottaram is also famous in many ways adding to the proud history of this place.

[citation needed] Karthikappally St. Thomas Orthodox Cathedral is one of the ancient churches in Kerala.

Karthikappally church keeps an immense archive of the local history in about 621palmyra-written records.

[citation needed] Cheppad is about 44 km north of Kollam on Kollam-Alappuzha National Highway 66.

The wood carvings in the porches and the mural paintings which depicts the great scenes of epic of Jesus Christ are unique and rare specimens.

Mar Dionysius IV of the Malankara Orthodox Syrian Church (often called the Cheppad Metropolitan) is buried there.

The wooden sculptures in the gopuram of Vettikkulangara Bhagavathy temple are famous.

[citation needed] As of 2001[update] India census, Karthikappally had a population of 19064 with 9107 males and 9957 females.