Tiruppaampuram temple is located seven km west of Peralam. The king of serpents Nagarajan, Karkotakan, Bhrama and Agasthyar worshipped Shiva here. The name Paampuram comes from the association with Nagarajan. Shiva is called Seshapureeswarar. Tiruppaampuram is the 59th in the series of Tevara Stalams in the Chola kingdom located south of the river Kaveri.
: states that Aadisesha, the mount of Vishnu worshipped Shiva here on the night of Shivaratri and he commenced his worshipped at Kudandai Keezhkottam, and then proceeded through Tirunageswaram, Tiruppaampuram and Nagur. This event is celebrated on Mahasivaratri nights. There are shrines dedicated to Malaiyeeswarar, Bhairava, Surya, Mahavishnu, Bhrahma, Aadiseshan, Saneeswaran and others.
: It covers an area of about 1.5 acres.
: Maasi Magam and Arudra Darisanam are celebrated here.