The pekasam fish is made of marinated river fish with rice, kept for at least a month in an earthen jar. The fish is usually the tilapia, although some people prefers other types of river fish.
The fish is then fried and served with a slice of lime, and eaten with rice.
The pekasam used to be the food for the poor. Paddy farmers used to have them for lunch when working in paddy fields.