The Hookah Alien is an alien from an unnamed species. The significance he has in the pilot episode is a minor one as he is seen relaxing in the waiting chairs with his friend while Rick Sanchez and Morty Smith are fleeing from security in Interdimensional Customs while attempting to smuggle mega seeds. He is seen smoking from a hookah like device and while doing so, Morty runs past him while accidentally inhaling some of the smoke and Rick comes from behind, destroys the alien's hookah, slaps him hard in the face for apparently no reason, and tramples over the alien's friend. The Hookah Alien is afterwards seen sobbing because of the fact that his property was destroyed and that Rick assaulted him. Morty is then seen coughing up a green life form that was a product of the smoke that lived only for a few seconds.
The Hookah Alien is a round, highly overweight alien who has red skin, blue eyes a patch of green hair/feathers on the top of his head, a pair of short tusks on his lower jaw, and wears a pair of brown khaki pants. He also appears to be sweating profusely like many other members of his species do.