Every full moon night, tens of thousands of pilgrims worship Shiva by circumambulating the Arunachala hill barefoot. The circumambulation covers a distance of about 14 km. On the yearly Chitra Powrnami (full moon) night in the Tamil calendar year, hundreds of thousands of pilgrims from across the world visit the town.
Advaita Vedanta guru Ramana Maharshi lived in Thiruvannamalai for fifty three years until his death in 1950. His ashram, Ramanasramam, is located at the foot of the Arunachala hill, to the west of the town. Seshadri Swamigal and Yogi RamSurat Kumar are examples of two other gurus who lived in this city.