Celebrations in the capital Kuala Lumpur centred, as they have for 125 years, on the spectacular Batu Caves complex on the city's outskirts, which many Hindus walked up to ten hours to reach in an annual pilgrimage.
Bearing gifts for the deity Murugan, countless yellow-robed devotees carried milk pots or coconuts - the latter of which are smashed as offerings.
Others took part in the 15-km (nine-mile) procession of a silver chariot from a temple in the city centre to the caves - an important religious site for Tamil Hindus - capped by the final 272-step climb to a temple in the limestone outcropping.
Many show their fervour by bearing the elaborately decorated frames called "kavadi" that can weigh as much as 100 kg (220 lbs) and are typically affixed to a person's body using sharp metal spikes dug into their flesh in a form of penance.
"It's my first time carrying a kavadi," said Arulvendhan, a 30-year-old teacher, as he prepared to pray before hoisting the burden onto his body.
"I made a vow that I would do this if my father's health got better and if my family had more peace. My dad is much better than before."
Some swayed trance-like to throbbing drumbeats and religious songs as friends and relatives cheered them on. Others danced in deep trance-like states.
Thaipusam commemorates the day when, according to Hindu mythology, the goddess Pavarthi gave her son Lord Murugan a lance to slay evil demons.
Prior to Thaipusam, devotees will typically hold daily prayer sessions, abstain from sex and stick to a strict vegetarian diet for weeks.
Many stalls sprouted outside the caves where visitors could have their heads shaved bald, another form of thanksgiving.
"But seriously, I took a vow for spiritual reasons and I'm feeling satisfied for finishing this ritual.
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