The video shows a person decorating a cake with icing. The cake is shaped like a skull and has a white base color. The person uses a piping bag with black icing to draw the outline of the skull and then fills in the details such as the eyes, nose, and mouth. The person's hands are visible, and they have pink nail polish. The background is a bright green color, and there is a paintbrush and a flower-shaped cutter on the table.