In art historical terms, a black Madonna is a painting or sculpture depicting the Virgin Mary with dark or black skin, created in Europe in the late medieval period, or sometimes an older image whose documented popular cult dates from that time. Some are made of dark or black materials such as ebony, others are said to have become blackened from the soot of candles, although this explanation and the significance of the Madonna’s skin colour is contested. There are several hundred black Madonnas in Europe. The topic of black Madonnas has attracted a considerable literature in recent decades approaching the subject from the perspective of various academic disciplines including anthropology, psychology, art history, feminism, and Black history.

The shrine of Our Lady of Altötting in Bavaria dates from about 660 and is the oldest Marian shrine in Germany - thought this holy card comemmorates an ealier foundation date of 580. The cult image housed in the distinctive octagonal Gnadenkapelle (Chapel of Grace) is a polychromed lindenwood sculpture dating from about 1330 and probably replaced an earlier image. The shrine’s popularity as a pilgrimage destination received a considerable boost in 1489 from the miraculous recovery of a young boy who had drowned, after his mother laid his body before the image and prayed to the Virgin for a miracle. A striking feature of the shrine is its collection of silver urns containing the bequeathed hearts of the Virgin’s devotees from among the Bavarian aristocracy.

This holy card was published by Das Seraphische Liebeswerk (The Seraphic Work of Love), a children's charity founded by members of the Capuchin order in 1889 which opened an orphanage at Altötting in 1893, and was probably sold to raise funds for the charity.