Shrine Clubs are are more social in nature whereas, Units are more performance oriented.

Karem Shrine Clubs hold Red Fez canister collections, the proceeds of which benefit Shriners Children’s™ healthcare network, as well as Karem's Transportation Fund.

Karem Units perform in parades, at fairs, festivals, and compete at Texas Shrine Association (TSA) and Shiners Imperial Session. Imperial Session is the annual business meeting for all Shrines, worldwide.