The pale grey-green, stalkless leaves of Othonna ramulosa grow in small, spaced clusters on younger stems. They are thickly succulent, oblong and sickle-shaped, ending in blunt tips.
The occasional, inconspicuous tooth is sometimes present on a leaf margin.
Leaf dimensions are about 15 mm long by 5 mm wide (Vlok and Schutte-Vlok, 2015; Bond and Goldblatt, 1984; iNaturalist).