The crystallization of hematite from precursor ferrihydrite was studied using timeresolved, angle-dispersive synchrotron X-ray diffraction in aqueous solutions at pH 10 and 11 and at temperatures ranging from 80 to 170 °C. Rietveld analyses revealed a nonclassical crystallization pathway involving vacancy infilling by Fe as defective hematite nanocrystals evolved. At 90 °C and pH 11, incipient hematite particles exhibited an Fe site occupancy as low as 0.68(2), and after 30 min, Fe occupancy plateaued at 0.84(1), achieving a metastable steady state with a composition corresponding to "hydrohematite". During crystal growth, unit-cell volume increased with an increase in Fe occupancy. The increase in Fe occupancy in hydrohematite was accomplished by deprotonation, resulting in a shortening of the long Fe-O(H) bonds and decreased distortion of the octahedral sites. Once the occupancy stabilized, the unit-cell volume contracted following further nanoparticle growth. Our study documented a variety of synthetic routes to the formation of "hydrohematite" with an Fe vacancy of 10-20 mol% in the final product.The structure refined for synthetic hydrohematite at 90 °C and pH 11 closely matched that of natural hydrohematite from Salisbury, CT, with a refined Fe occupancy of 0.83(2). Dry heating this natural hydrohematite generated anhydrous, stoichiometric hematite, again by continuous infilling of vacancies. The transformation initiated at 150 °C and was complete at 700 °C, and it was accompanied by the formation of a minor amorphous phase that served as a reservoir for Fe during the inoculation of the defective crystalline phase.