Akutagawa has a slim build and very pale skin. He often covers his face with his hand due to his frequent coughing. He has short, choppy black hair with side bangs that reach his chin, white at the tips. His eyes are sharp and a dark empty grey. He wears a long black coat reaching around knees over black pants and black dress shoes. Underneath his coat is a white ruffled dress shirt, He also wears a white jabot. He can be violent and ruthless but stays detached. He doesn't like meaningless harm.