The gag grouper is a drab, mottled gray fish lacking the distinguishing features of other groupers. It has a pattern of markings which resemble the box-shaped spots of the black grouper. It lacks the streamer-points on the tail fin that scamp (Mycteroperca phenax) and yellowmouth grouper (M. interstitialis) have and lacks yellow coloration around the mouth.
Ten- to twenty-pound (5 to 10 kg) fish are common. The world record is 80 lb 6 oz (36.45 kg). The gag grouper is a bottomfeeder and is often caught by fishermen seeking bottom-dwelling species such as snappers. It has flaky white meat that is considered quite delicious.