According to Sir Richard Francis Burton, the Metawali are of Persian descent and generally follow the tenets of the Shia faith; however, their worship practices include pilgrimage to the ruins of a temple honouring Ishtar (Ashtaroth) at Apheca where they address their vows to the Sayyidat al-Kabirah, ("the Great Lady"). As such, they are sometimes accused by Orthodox Muslims of heresy.
Seven Metawali villages that were included within the boundaries of the British Mandate of Palestine were depopulated during the 1948 Arab-Israeli War and repopulated with European Jews.