Akutagawa has a slender build and very pale skin. He often covers his face with his hands because he coughs a lot. She has short, wavy black hair with side bangs that reach her chin and turn white at the ends. His eyes were sharp, slightly loose, and a dark empty gray. He wore a long black coat that reached past his knees over black pants and black shoes. Under his coat, he wore a white shirt, decorated with layers of cloth.