Stylistically very similar to the Altar of the Holy Sacrament, it is enriched with a palette of ornate work and embroidery of exceptional texture placed under a one- piece marble table supported by two large countertops decorated with acanthus leaves The elements that currently constitute the marble group in the left part of the nave ,the work of Andrea Guardi, were once part of this altar .
The altar is in the centre of the Presbitery .The column supporting the altar stone presumably dates back to the XIth century and is considered one of the oldest elements in the Cathedral.

Suspended in the middle of the presbytery. Tempera on wood, gold background, (1,80 x 1,30), attributed to the Lucchese painter Angelo Puccinelli.

Complex shaped cross, painted with the great image of the Cristo Patiens, accompanied, still in the central panel, by the Virgin on the left and St John, the beloved disciple, on the right. At the far ends, there are two boards with the four Evangelists and their symbols. On the left one, John with the eagle, and Luke with the ox. On the right one, Matthew with the angel and the Gospel, and Mark with the lion. Above, over the INRI inscription, the Father overlooked by a pelican as per the famous symbolism (the pelican that feeds its chicks with his blood until he dies is the symbol of Christ’s sacrifice.