She is often seen in dark places such as caves or wells. As a midboss with no dialogue and a sparse official profile, little is known about her.

Though her usual activities are a mystery, ZUN described her as cruel and violent, who would probably "go ahead and chop your head off, put it in her bucket, and go home".

Kisume has a pale skin with dark teal hair tied up in pigtails by white hair beads. The bucket she sits in is a cherry brown with black hoops near the top and bottom.