Like other members of the Akimichi clan he is very robust, also, like most members of his clan he wears a samurai-like outfit with the kanji for "food" (食, shoku) on the front and has distinctive markings on his cheeks. He wears his short brown hair in a topknot ponytail style.
During Pain's invasion, he accompanied a small group of shinobi in an attempt to reach and assist in Kakashi Hatake's confrontation with the Deva Path of Pain. Upon arrival, he and three other ninja launch a simultaneous assault on the opposition from four directions, only to be immediately defeated by the effects of Shinra Tensei.
Fourth Shinobi World War: Confrontation
During the Fourth Shinobi World War, he was sent to the Island Turtle alongside several other Konohagakure shinobi, to ensure that Naruto Uzumaki remains within the chakra isolation chamber. As he and Maruten move in to stop Naruto from leaving the falls, they, along with several of the other shinobi are sent flying backwards through the falls by Naruto. They are later ordered by Shibi to follow Naruto when he escapes.
The word "Shitō" can be used to describe several things, such as "fingertip" (指頭) or "faction/band" (私党). Noticeably, when written as "私闘", Shitō mean "personal struggle" while "死闘" describes a "struggle to the death".