The leaf rosette of Aloe khamiesensis is compact and many-leaved. The leaf colour, in picture yellow-green, is often dull grey-green.

Tall panicles of up to eight conical racemes form the inflorescence that appears in about the first half of winter. There were no sign of flowers when the photo was taken in August after a very dry winter. The individual perianths (flowers) of A. khamiesensis are orange-red, their tips yellow-green. The racemes become up to 30 cm long. The cylindrical to triangular perianth tubes are up to 3,5 cm long.

There are small bracts below the pedicels of the individual flowers. The bracts are thin with many veins visible upon their brown surfaces. The pedicels (stalks) of the perianths are up to 2,5 cm long at the bottom end of the raceme; gradually shorter up its length (Van Wyk and Smith, 2003; Frandsen, 2017; Le Roux, et al, 2005; Reynolds, 1974; Jeppe, 1969; iNaturalist).