She grows a short white horn on the right side of her forehead designed with irregular crack pattern, along with vein-like patterns in her forehead near her horn. She loses her bamboo muzzle and footwear, as well as the sleeves of her haori and kimono. When Nezuko transforms into her awakened form during her fight with Daki, she has a bigger, taller and curvaceous body and has longer hair that reaches to her feet.

Nezuko also wears a small pink ribbon on the left side of her head to keep her hair out of her face, along with the bamboo muzzle Giyu Tomioka gave her, which is secured around her jaw with a strip of red cloth. Over this, she sports a long, dark-brown haori that reaches her calves, as well as a pair of zōri with pink straps and white tabi socks, wrapped with thick pieces of black material resembling kyahan. She wears a light pink kimono with an asanoha (hemp leaf) pattern, the lining a paler pink, secured by a red and white-checkered hanhaba obi with an orange-threaded obijime and a green obiage. According to Tanjiro Kamado, Nezuko was known as a great beauty in their home town. In the manga, Nezuko can sometimes be shown with more than one bow. She has soft-looking, pale pink eyes that appear a lighter color around the rims of their irises, slanted downward toward the sides of her face and framed by notably long eyelashes, the pupils of which can appear slit as she transforms. It reaches just below her waist, turning a flame-orange color as it passes her elbows, and appears to be crimped into large, straight ridges, worn side-swept drastically to her left.

Nezuko is a petite young girl with fair skin, visibly large, prominent fangs, and sharp, stiletto nails with a base color of light pink and ombre fading to a red-pinkish color at the end where they point.

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