The image continued to spread and develop iconographical complexity until well after the Renaissance, but the Man of Sorrows in its many artistic forms is the most precise visual expression of the piety of the later Middle Ages, which took its character from mystical contemplation rather than from theological speculation.
The Pensive Christ is a similar depiction, and the usual composition of the Mass of Saint Gregory includes a vision of the Man of Sorrows.
[3] The image formed part of the subject of the Mass of Saint Gregory; by 1350 the Roman icon was being claimed as a contemporary representation of the vision.
[5] In this image the figure of Christ was typical of the Byzantine forerunners of the Man of Sorrows, at half length, with crossed hands and head slumped sideways to the viewer's left.
[7] Other elements that were sometimes included, in distinct sub-forms of the image, included the Arma Christi or "Instruments of the Passion", the cross, a chalice into which blood poured from Christ's side or other wounds (giving an emphasis on the Eucharist), angels to hold these objects or support a slumped Christ himself (Meister Francke shows both roles below), and mourners or worshippers.