Rickettsiae are Gram-negative, highly polymorphic (polymorphic, pleomorphic) organisms that do not form spores. They are often round (cocci) to oval bacteria with a diameter of 0.1 µm; they may also appear as rods (1-4 μm long) or filamentous (10 μm long). Occasionally they form chains, but usually they occur singly or in pairs. The survival of obligate intracellular rickettsiae depends entirely on their eukaryotic host cell (usually endothelial cells), into whose cytoplasm they must invade to be protected from the host defense system. Reproduction by transverse division also takes place inside the host cell. The bacteria are subsequently released by strangulation from the cell membrane (exocytosis) or by lysis, which destroys the host cell. At least R. conorii is capable of movement within the host cell.
Due to their dependence on the host cell, the bacteria cannot be kept in artificial culture media in the laboratory. They are therefore grown either in biological tissues or embryo cultures (typically chicken embryos are used). Because of their cell dependency and their reduced metabolism, rickettsiae were in the past often classified as microorganisms somewhere between viruses and the larger true bacteria, as an "intermediate species". For a long time, they were also referred to as "large viruses".