As his transformation into his Akuma form became more complete, his hair snapped off to its original length, the scars on his face healed, and he gained tear-like markings underneath his eyes.
His limbs also somewhat lost their human attributes, the skin ridging in some areas and his knees becoming more joint-like. Īfter becoming an Akuma, several of the tattoos on Alma's body integrated more into his Akuma form, their coloring changing and becoming incorporated with several new markings. In this state, the left side of his head was covered in overlapping scars, while on the right side his hair, which had lightened, became excessively long. This process, along with Kanda's assault, resulted in his body, which aged as time passed, becoming heavily scarred and marred with tattoos on his wrists, ankles, and stomach. After he was heavily injured by Kanda when they were both children, his body was recovered by the Order, who placed seals on him to keep him unconscious but alive. He also had thick eyebrows and a thin, scar-like mark across the bridge of his nose.
As a Second Exorcist and child, his hair was dark, short, and unruly, with two longer strands framing his face. Alma Karma is a young man of east Asian descent.