An adult sloth bear measures roughly 1.4 to 1.9 m in body length and stands about 60 to 92 cm at the shoulder. Males are considerably heavier than females: males commonly weigh 80 to 145 kg, while females weigh 55 to 105 kg, with exceptional individuals exceeding those ranges. The coat is long, coarse, and shaggy, usually completely black, occasionally with a rusty tinge, and marked by a whitish Y- or V-shaped patch on the chest. A loose mane of longer hair frames the face and neck.
Several features connect directly to feeding. The bear is missing its upper incisors, leaving a permanent gap at the front of the mouth that acts as a nozzle. Its lips are long, bare, and highly mobile, able to stretch over the outer edge of the nose, and its nostrils can be closed at will to keep out swarming insects and loose soil. The claws are sickle-shaped and reach about 10 cm, well suited to tearing open hardened termite mounds. The sloth bear also has the longest tail of any bear, roughly 15 to 18 cm.