Mount Chōkai has been the object of mountain worship since ancient times. From the Heian period, it gradually became a training ground for Shugendō, as an avatar of Yakushi Nyorai. From the south was a pilgrimage path to the summit. In the middle of the Edo period the mountain drew many pilgrims and had 33 chapels at its base., with additional routes to its summit opened in the north. There is also a tradition that the island of Tobishima in the Sea of Japan was originally a part of the summit of Mount Chokai.