Her pyramid complex was started during the reign of her husband, when her title was still that of king's wife (hmt nswt).

[3] Khentkaues II is shown on a block with her husband Neferirkare and a son named Ranefer B (The future King Neferefre).

Other titles held by Khentkaus II include great one of the hetes-sceptre (wrt-hetes), she who sees Horus and Seth (m33t-hrw-stsh), great of praises (wrt-hzwt), king's wife (hmt-nisw), king's wife, his beloved (hmt-nisw meryt.f), priestess of Bapef (hmt-ntr-b3-pf), priestess of Tjazepef (hmt-ntr-t3-zp.f), directress of the butchers in the acacia house (khrpt-sshmtiw-shndt), attendant of Horus (kht-hrw), God's daughter (s3t-ntr), companion of Horus (smrt-hrw and tist-hrw).

During the Middle Kingdom, the pyramid was reopened and the sarcophagus reused for the burial of a young child.

[3] The mortuary temple of Khentkaues II was decorated, but the reliefs were damaged and what remains, are a collection of fragments.