Long associated with cell death, hydrogen peroxide (H 2 O 2 ) is now known to perform many physiological roles. Unraveling its biological mechanisms of action requires atomiclevel knowledge of its association with proteins and lipids, which we address here. High-level [MP2(full)/6-311++G(3df,3pd)] ab initio calculations reveal skew rotamers as the lowest-energy states of isolated H 2 O 2 (ϕ HOOH ∼ 112°) with minimum and maximum electrostatic potentials (kcal/mol) of −24.8 (V s,min ) and 36.5 (V s,max ), respectively. Transition-state, nonpolar trans rotamers (ϕ HOOH ∼ 180°) at 1.2 kcal/mol higher in energy are poorer Hbond acceptors (V s,min = −16.6) than the skew rotamers, while highly polar cis rotamers (ϕ HOOH ∼ 0°) at 7.8 kcal/mol are much better H-bond donors (V s,max = 52.7). Modeling H 2 O 2 association with neutral and charged analogs of protein residues and lipid groups (e.g., ester, phosphate, choline) reveals that skew rotamers (ϕ HOOH = 84−122°) are favored in the neutral and cationic complexes, which display gas-phase interaction energies (E CP , kcal/mol) of −1.5 to −18. The neutral and cationic complexes of H 2 O exhibit a similar range of stabilities (E CP ∼ −1 to −18). However, considerably higher energies (E CP ∼ −14 to −36) are found for the H 2 O 2 complexes of the anionic ligands, which are stabilized by charge-assisted H-bond donation from cis and distorted cis rotamers (ϕ HOOH = 0−60°). H 2 O is a much poorer H-bond donor (V s,max = 33.4) than cis-H 2 O 2 , so its anionic complexes are significantly weaker (E CP ∼ −11 to −20). Thus, by dictating the rotamer preference of H 2 O 2 , functional groups in biomolecules can discriminate between H 2 O 2 and H 2 O. Finally, exploiting the present ab initio data, we calibrated and validated our published molecular mechanics model for H 2 O 2 (Orabi, E. A.; English, A. M. J. Chem. Theory Comput. 2018Comput. , 14, 2808Comput. −2821 to provide an important tool for simulating H 2 O 2 in biology.