Even though it has Tokyo in its name, this pancake variety is an authentic Thai invention that is prepared with leavened egg batter.  The fillings may include sweet options such as various creamy spreads and custards or savory ingredients such as sausages, quail eggs, or ground pork.

The dish is usually made at street stalls, and the pancakes are typically small in size and served rolled. There's also a version called the phiset, which means special, and it consists of a larger crêpe that's filled with crumbled sausage, beaten eggs, Maggi seasoning sauce, and powdered white pepper.

The origin of khanom Tokyo is often associated with Thai-Daimaru department store in Bangkok, and the dish is said to be a variation of dorayaki, a Japanese pancake that's stuffed with red bean paste.