The island lies to the southwest of Nea Kameni. Though the island is for the most part uninhabited, several structures (including a small church) are located on the island. Due to a lack of good harbors, most recreational watercraft do not stop at the island, though tourists can swim to the island from nearby Nea Kameni. Like the larger island to its east, Palea Kameni is sparsely vegetated with succulent plants. A herd of goats is present on the island, as is a single inhabitant, Sostice Arvanitis. The island also contains a hot spring.