Akasha was the first vampire in existence. She is known among vampires as The Queen of the Damned.

Akasha was a beautiful young woman who was "almost too pretty to be truly beautiful". She had light-dark skin that was very smooth that turned white as marble over time. There were no visible veins present in her face; even her lips had no creases in them. She had very dark, nearly black lustrous eyes and cheeks that "shone like pearls." She was described as having firm shapely limbs and straight shoulders. She had black hair that was often braided in the Egyptian style and long and curly when loose. She had a high feminine voice and serene face. She was from Uruk, a country that is now modern day Iran, Syria and Turkey.

Akasha is a selfish, empty, nihilistic person with no sense of morality or human compassion. Her actions are almost always based on her need to fill her own inner emptiness. Maharet describes her as the only true monster among them because she refuses to acknowledge her own monstrosity.