Strong Hearts men's society headdress of an elk hide, decorated with split, beveled and polished buffalo horns painted dark-red on the reverse, decorated with yellow dyed horse hair, ermine fringes and wrapped seed beadwork over buckskin at tips. Owl wing feathers are attached below the horns. Also standing between the horns and covering the top of the headdress, are rows of clipped black crow and raven feathers.

The beadwork is done using old Italian pound beads and features steep dark-blue triangles on a white background. Both side are furnished with ermine tubes and abalone drops.

In the rear portion of the headdress there is a long traler, composed of a rectangular piece of red trade cloth, ornamented with 3 flat rows of eagle feathers tipped with yellow horse hair and white gypsum dots.