The structure and histochemistry of sclerotia of Ophiocordyceps sinensis (synonym: Cordyceps sinensis) are described. The remains of the caterpillar epidermis and sometimes setae of the caterpillar were attached to the pigmented layer that is external to the rind of the sclerotium. The outer aerial hyphae and hyphae of the inner medulla were densely interwoven around the epidermis of the caterpillar; these eventually differentiated into the rind of the sclerotium. The medulla of the sclerotium consisted of three intergrading regions of hyphal density: high, low and a region of intermediate hyphal density. All hyphae of the medulla contained large quantities of protein, polysaccharide and polyphosphate; only the region of high hyphal density was rich in β-1,3 glucans; the center of the sclerotium was almost devoid of hyphae and contained what are most likely the remains of caterpillar tissue. These features are compared with those of sclerotia of other fungi, and their possible significance is discussed.