In Tibetan Buddhism, a Kapala Mala is primarily used by advanced practitioners for wrathful deity practices, such as those dedicated to Mahakala or during Chöd rituals. Use these prayer beads to count mantras while visualizing the cutting away of the ego. The miniature skull imagery serves as a powerful meditation tool to remind the practitioner of life's impermanence, aiding in the transformation of ignorance into enlightened wisdom.