Thutmose's most celebrated accomplishment was the restoration of the Great Sphinx of Giza and subsequent commission of the Dream Stele.

According to Thutmose's account on the Dream Stele, while the young prince was out on a hunting trip, he stopped to rest under the head of the Sphinx, which was buried up to the neck in sand.

The restoration of the Sphinx, and the text of the Dream Stele would then be a piece of propaganda on Thutmose's part, meant to bestow legitimacy upon his unexpected kingship.

Betsy Bryan, who penned a biography of Thutmose IV, says that Thutmose IV's Konosso stela appears to refer to a minor desert patrol action on the part of the king's forces to protect certain gold-mine routes in Egypt's Eastern Desert from occasional attacks by the Nubians.

[7] Thutmose IV's rule is significant because he established peaceful relations with Mitanni and married a Mitannian princess to seal this new alliance.

[15] However, Manetho's other figures for the 18th Dynasty are frequently assigned to the wrong kings or simply incorrect, so monumental evidence is also used to determine his reign length.

Due to the absence of higher dates for Thutmose IV after his Year 8 Konosso stela,[18] Manetho's figures here are usually accepted.

It was transported to the grounds of the Circus Maximus in Rome by Emperor Constantius II in 357 AD and, later, "re-erected by Pope Sixtus V in 1588 at the Piazza San Giovanni" where it is today known as the Lateran Obelisk.

[20] Thutmose IV also built a unique chapel and peristyle hall against the back or eastern walls of the main Karnak temple building.

[24] Thutmose IV was buried in tomb KV43 the Valley of the Kings but his body was later moved to the mummy cache in KV35, where it was discovered by Victor Loret in 1898.

The authors noted royal mummies like Thutmose IV showed features characteristic of North Mediterranean populations, or the Western World.