Hieronymus Bosch's unusual vision of the 16th century provides the filter through which Atanassov worked to create the Bosch Tarot. The quaint, the puzzling, the mildly amusing, the simply absurd, and sometimes even the lovely go hand-in-hand with the rawest monstrosity and the most disturbingly grotesque images. All the cards are titled in Italian, English, French, German, and Spanish.

The companion booklets for most Lo Scarabeo decks are in five languages: English, Spanish, French, Italian, and German.