Altar-tombs of this kind, sometimes called table tombs, consist of a raised chest with carved side panels supporting a heavy recumbent slab on top. This one rests on a limestone plinth with a chamfered edge, and its front panel runs nearly two metres in length. Carved across that panel is one of the most elaborate depictions of the Arma Christi, the instruments of the Passion, to survive in Irish funerary stonework. Reading from right to left, the carving moves through nearly every object associated with the trial and crucifixion of Christ: the seamless garment, the purse holding the thirty pieces of silver, three dice, Pilate's jug and basin, a cock perched on the scourging pillar with ropes entwined around it, flails, a reed or lily, pincers holding three nails, a hammer, a spear, a lantern, the cross with its crown of thorns, Peter's sword alongside the ear he severed, a ladder, and finally the five wounds rendered as hands, feet, and a heart pierced by three nails. The east end panel carries an interlaced IHS monogram between fluted pillars, while the west end panel, now displaced and lying flat, shows a crucifixion scene beneath a semi-circular arch with Christ alone, no attendant figures.

The tomb was commissioned by Johannes Neale and his wife Honora Walsh to commemorate his parents, Constantinus Neale and Honora Purcell of Ballyneale. The Latin inscription, raised in black letter and running around the margin and across the slab itself, records that Constantinus died on 12 March 1629, and that the monument was erected on 9 April in a year whose final digits are now lost. The text closes with the phrase "Orate pro aetr. victoribus ejus," a call to pray for those who triumph eternally. By 1907, when a scholar named Power transcribed the full inscription, the lettering was already considerably worn, and the slab has since cracked badly from one corner to the other, with a crude cement repair doing little to disguise the damage. The cross-head on the recumbent slab, decorated with fleur-de-lys terminals and set on a calvary mount with a skull and crossbones beneath, is also fractured across its dexter side.