Willows are considered sacred in many spiritual traditions. Native Americans mix Red Willow into their sacred Kinnikinnick blend, which is used as a smoking mix for the Sacred Pipe to honour the Great Spirit. Sometimes it is also used as an incense blend to give thanks to Mother Earth and to the plant Devas when collecting medicinal herbs. Red Willow may be used alone to send prayers to the Gods, to ask their forgiveness or to appeal to the thunderbird to avert a storm or to send fertilising rain. It is commonly smoked as a sacred herb at ceremonies, festivals and sacred dances.