Tetramelas confusus forms a thin, patchy crust (
thallus) that spreads irregularly across its substrate. The surface is warty to minutely -like and ranges from creamy to pale grey-white. Chemical
spot tests are K+ (yellowish) and C+ (orange-yellow), reactions that reflect minor amounts of
atranorin and abundant 6-
O-methylarthothelin. The lichen's reproductive structures are abundant blackish discs (
apothecia). Each apothecium is superficially attached yet slightly narrowed where it meets the thallus, a shape that gives the whole disc a "pinched" appearance. are up to 2.5 mm across—large for the genus—and their margins remain well defined and often wavy even in old specimens. The rim and inner ring of fungal tissue () are permanently dark-pigmented and composed of thick-walled, rounded cells. Beneath the brown , the colourless
hymenium stands 55–77 μm tall; unlike some others in the genus it lacks oil droplets. Slender, septate filaments (
paraphyses) thread this layer, each only 2 μm thick but swelling to roughly 5 μm at the tip. Mature
asci contain eight
ellipsoid spores that turn mid-brown, have a single internal wall (
septum), taper slightly at the ends, and measure 16–21 × 5–7.5 μm (rarely 13.5–23 μm long). The spore wall consists of a thick inner layer coated by a thinner, cracked outer sheath, a configuration typical of
Tetramelas species.
Asexual propagules are uncommon; when present, immersed
pycnidia release colourless, rod-shaped
conidia about 5–6 × 1 μm. ==Habitat and distribution==