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Its origin is almost certainly the richly embroidered dalmatic that formed part of the consular insignia, which under the name of sakkos became a robe of state special to the emperors.

The modifications of the sakkos, and the way of its being tied, are chiefly illustrated by vase-paintings.

At the present day the Greek women of Thessaly and the Isle of Chios wear a head-dress exactly resembling the antique sakkos.