The lichen has a smooth to uneven, dark grey to brownish-grey thallus that covers areas of up to 10 cm (4 in). The photobiont partner of the lichen is in an endoperidermal layer (the inner of the two layers of the peridium), suggesting a low degree of lichenisation. The ascomata are in the form of perithecia, which occur in aggregated groups of 5–20 in pseudostromata. These structures are covered with a carbonised (blackened) layer that is topped by an orange pigment layer. Ascospores number eight per ascus and have a spindle-shaped (fusiform) to ellipsoid shape; their dimensions are 22–27 by 8–10 μm.[2]
The characteristics of the lichen that distinguish it from others in genus Astrothelium are the barely lichenized, grey thallus; and the distinctly pseudostromatic ascomata, with prominent to sessile pseudostromata, with an orange cover that strongly contrasts with thallus.[3] Astrothelium aeneum is somewhat similar in appearance, but this lookalike differs from A. aurantiacocinereum in the degree of lichenisation, the form of the pseudostromata, and the presence of pigment on the surface of the thallus.[2]