Tsar was a title used by Slavic monarchs. The term is derived from the Latin word caesar, which was intended to mean emperor in the European medieval sense of the term—a ruler with the same rank as a Roman emperor, holding it by the approval of another emperor or a supreme ecclesiastical official —but was usually considered by Western Europeans to be equivalent to "king". It lends its name to a system of government, tsarist autocracy or tsarism.
Simeon I of Bulgaria, the first Bulgarian tsar and the first person who bore the title "tsar"
Reception of the Tsar of Russia in the Moscow Kremlin, by Ivan Makarov
Crowning of Stefan Dušan, Emperor of the Serbs, as tsar, by Paja Jovanović
Mostich's epitaph uses the title tsar (outlined): "Here lies Mostich who was ichirgu-boil during the reigns of Tsar Simeon and Tsar Peter. At the age of eighty he forsook the rank of ichirgu boila and all of his possessions and became a monk. And so ended his life." (Museum of Preslav)
The word emperor can mean the male ruler of an empire. Empress, the female equivalent, may indicate an emperor's wife, mother/grandmother, or a woman who rules in her own right and name. Emperors are generally recognized to be of the highest monarchic honour and rank, surpassing kings. In Europe, the title of Emperor has been used since the Middle Ages, considered in those times equal or almost equal in dignity to that of Pope due to the latter's position as visible head of the Church and spiritual leader of the Catholic part of Western Europe. The emperor of Japan is the only currently reigning monarch whose title is translated into English as "Emperor".
A statue of dictator Julius Caesar.
Under Justinian I, reigning in the 6th century, parts of Italy were for a few decades (re)conquered from the Ostrogoths: thus, this famous mosaic, featuring the Byzantine emperor in the center, can be admired at Ravenna.
Holy Roman Emperor Charles V in the 1550s, after Titian