Vajra Satwa Shakti Thangkais also regarded as Adi-Buddha by Nepalese Vajra-acharyas who follow Vajrayana tradition according to the text Vajrasattvakaya.
Vajrasattva has father-mother aspect too. Generally, this form is not exhibited in open. It is shown only to those who are initiated in the Highest Yoga Tantra.
Vajra-sattva is a very popular tutelary deity for Nepalese Vajracaryas. He is worshipped very often by Nepalese Buddhists through Gurumandala ritual. In this thangka, Vajrasattva is displayed with his consort.