Christ and Mary are central, with the Kings also in the foreground. Christ is seated as if on a throne and holds a gold coin.
Baltazar has an attendant who carries his cape. He is wearing a crown, pearls, gold, lynx fur and leather boots so fine we see the form of his feet beneath the surface. Caspar is also wearing gold and jewels, as well expensive fabrics including fur and a patterned robe. He is kneeling respectfully before Christ with his hands held together as though in prayer. Baltazar stands with his gift offered out to Christ.
There is text in blue at the bottom of Baltazar's scarf. There is writing on the scroll held by the angel in green on the left which translates to 'glory to God in the highest'. Finally, on the lid of the chalice of myrrh at the Virgin's feet presented by Caspar, his name is written.
While some of the men look beyond the edge of the painting, the second man from the right is looking directly in our direction. The horse is also looking at us! He is carrying an old man who looks weary and seems to be using a stick for further support.
The tenth angel is hidden: it is peeping through the crack in a wall to the right of Joseph behind an ox. We can see the white edge of one of its wings.
There are two dogs, an ox and an ass. This lets us know that the scene is set in their stable.