The narrow leaves of Aloe khamiesensis curve up near the base. The upper parts may curve outwards or remain erect. The leaves become 40 cm long and 8 cm wide.

The red-brown, triangular teeth are only present upon the margins, both blade surfaces being smooth. Small, elliptic, white spots are usually scattered upon both leaf surfaces, more prevalent on the lower surface. The leaf colour is generally pale dull-green.

The leaves are about identical to those of A. framesii and A. microstigma (Van Wyk and Smith, 2003; Frandsen, 2017; Le Roux, et al, 2005; Reynolds, 1974; Jeppe, 1969; iNaturalist).