Akutagawa has a slim build and very pale skin. He's often seen covering his face with his hand due to his frequent coughing. He has short, choppy black hair with side bangs that reach his chin and turn white at the tips. His eyes are sharp, somewhat baggy, and a dark empty grey. His ruthless, vicious nature makes him one of the Port Mafia's most dangerous members, feared by both ally and foe.