The mask of okame is sometimes used as to play a comical woman in Satokagura (kagura performance held somewhere other than at the imperial palace) and is often played with 'hyottoko' (droll fellow or clownish mask) as a pair.
面は里神楽などで道化役の女性として使われることもあり男性の面であるひょっとこと対に用いられることも多い。