This painting depicts a customary theme in medieval literature: the dance of Death, which was frequently used by Northern artists. Brueghel casts the entire work in a reddish-brown tone that gives the scene an infernal aspect appropriate for the subject at hand. The profusion of scenes and moralizing sense applied by the artists are part of Hieronymous Bosch´s influence on this work. Bruegel combines two distinct visual traditions within the panel. These are his native tradition of Northern woodcuts of the Dance of Death and the Italian conception of the Triumph of Death, as in frescoes he would have seen in the Palazzo Sclafani in Palermo and in the Camposanto Monumentale at Pisa.