The aqueous milieu inside cells contains as much as 30-40% dissolved protein and RNA by volume. This large concentration of macromolecules is expected to cause significant deviations from solution ideality. In vivo biochemical reaction rates and equilibria might differ significantly from those measured in the majority of in vitro experiments that are performed at much lower macromolecule concentrations. Consequently crowding, a nonspecific phenomenon believed to arise from the large excluded volume of these macromolecules, has been studied extensively by experimental and theoretical methods. However, the relevant theory has not been applied consistently. When the steric effects of macromolecular crowders and small molecules like water and ions are treated on an equal footing, the effect of the macromolecules is opposite to that commonly believed. Large molecules are less effective at crowding than water and ions. There is also a surprisingly weak dependence on crowder size. Molecules of medium size, ∼5 Å radius, have the same effect as much larger macromolecules like proteins and RNA. These results require a reassessment of observed high-concentration effects and of strategies to mimic in vivo conditions with in vitro experiments. T he milieu inside cells contains a large amount of solutes that include small ions, metabolites, and macromolecules. Typical protein/RNA concentrations range from 300 mg/mL to 400 mg/mL or about 30-40% by weight. These are 10-fold or more higher than the macromolecular concentrations usually encountered in in vitro measurements and could lead to significant nonideality in solution behavior. The possibility that in vivo biochemical reaction rates and equilibria might be quite different from measured values due to this nonideality has stimulated considerable research. Macromolecular crowding in particular has stimulated a large number of studies, which have been extensively reviewed (1-5). Crowding has been variously described as physical occupation of volume by the macromolecules, which is then unavailable to other molecules, as an excluded volume effect, as a nonspecific effect due to steric repulsion, and as eliminating positions at which the protein can be placed (2, 5, 6). The other contribution to nonideality is from interactions between various solution components, either attractive or repulsive-repulsive interactions distinct from the van der Waals core repulsion or steric factor underlying crowding. We know very little about the contribution of intersolute interactions to nonideality in vivo. Crowding has been more extensively studied because the steric or excluded volume of a macromolecule is a welldefined property, it is always present, and its qualitative effect on biochemical reactions seems obvious (2). However, as I demonstrate in this paper, the effect of crowding macromolecules on a biochemical reaction is not obvious, the relevant theory has not been consistently applied, and indeed the effect is opposite to that commonly believed.Analyses of the effect of crowding mac...