The decoration of the Cathach is limited to the initial letter of each Psalm. Each initial is in black ink and is larger than the main text. They are decorated with trumpet, spiral and guilloch patterns and are often outlined with orange dots. These patterns are not merely appended to the letters or used to fill spaces. They instead distort the shape of the letters themselves The letters following the enlarged initials gradually reduce in size until they reach same size as the main text. Although the motifs of the Cathach decoration are not similar to decorations in later manuscripts, such as the Book of Durrow (which followed the Cathach by as many as seventy years), the ideas of decoration which distorts the shape of the letters and the diminution of initial letters are ideas which are worked out in great detail in later Insular art.
The Cathach was enclosed in a shrine in the eleventh century. The shrine was carried into battle as a talisman. (Hence the name: Cathach = Battler). The manuscript was rediscovered in 1813, when the shrine was opened. The Cathach was entrusted to the Royal Irish Academy in 1842 by Sir Richard O'Donnell. The O'Donnell family still retains ownership of the Cathach. The Cathach's shrine is in National Museum of Ireland, Dublin.