The practice of Kuksu religion included elaborate narrative ceremonial dances and specific regalia.

The Patwin culture of Northern California had comparatively strong and noticeable Kuksu systems and rituals.

[1] The Maidu culture of Northern California had comparatively strong and noticeable Kuksu systems and rituals.

The person who played the Kuksu/Guksu in Pomo dance ceremonies was often considered the medicine man, and dressed as him when attending the sick.

"[6] In contrast, in 1925 a witness of the Clear Lake Pomo said: "The heart of religious activities lay in a secret society called kuhma, akin to that of the Patwin and Maidu and composed chiefly of men, which managed the ritual of the ancient kuksu religion.