Pleiospilos Nelii is a small clump forming stemless, perennial ,leaf succulent nearly spherical vaguely reminding for a Lithops. Mesembs can reach a height of up to 8 cm and a diameter of up to 10 cm. The leaves are usually grey green to brownish in color with many conspicuous raised dark dots scattered over the whole surface. Leaves will reach up to 5 cm long and wide. The plant produces a new pair of leaves from within the old one each year, much the same as Lit hops and conophytums do. The leaves have a deep fissure in the middle and many small dark spots on the surface.