The main element in this exquisite Greek dish is lobster meat that is coupled with a flavorful tomato-based sauce and served over pasta. The dish is typically prepared with spaghetti, while the sauce is usually enriched with wine and various herbs and spices.

Lobster meat is traditionally served in shells, and the whole dish is generously garnished with parsley. Though it can be found in other Greek regions, astakomakaronada is mainly associated with the island of Skyros.