The cimaruta is a very old Italian portafortuna (good luck charm) rooted in the lore of the ancient Pagan religions of Italy. It can be worn around the neck or hung above an infant's bed to ward off any evil. Like many of the lasting ancient symbols and beliefs, the cimaruta design eventually took on certain symbols of Catholicism.

One example of a Christian addition to the design is the appearance of "the sacred heart" of Jesus. However, ancient Roman charms did include a heart symbol, which may indicate that the heart on the cimaruta isn't an entirely new addition. The traditional cimaruta is fashioned after the leafy sprig of rue, which is an herb that is highly featured in Italian magic and lore. The branch of the rue is divided into three stems symbolizing the three forms of the goddess Diana. Rue was a sacred herb for Diana.