Engaging Humphrey and Laidlaw’s ‘archetypal actions of ritual’, this article explores the thing-like and seemingly externally derived quality of ritualized action in ‘alternative’ medical settings in Mongolia. The cultural rupture of the Soviet era presents a case study in which the continuity of ritualized action cannot be assumed in ritual making during the post-1990 (re)construction of national culture. Elements derived from shared public knowledge have become constituted in ritual more recently and frequently than can be accounted for by an aperture-like model, where previously external elements gradually filtered in. Building on regional literature concerning loss of ritual form and recent syncretic innovation, I suggest that the affordances of form—mobility, iterability, and malleability—capture the politics inherent in the reordering of associations in the making of ritual.