A universal characteristic of mesoscale turbulence in active suspensions is the emergence of a typical vortex length scale, distinctly different from the scale invariance of turbulent high-Reynolds number flows. Collective length-scale selection has been observed in bacterial fluids, endothelial tissue, and active colloids, yet the physical origins of this phenomenon remain elusive. Here, we systematically derive an effective fourth-order field theory from a generic microscopic model that allows us to predict the typical vortex size in microswimmer suspensions. Building on a self-consistent closure condition, the derivation shows that the vortex length scale is determined by the competition between local alignment forces, rotational diffusion, and intermediate-range hydrodynamic interactions. Vortex structures found in simulations of the theory agree with recent measurements in Bacillus subtilis suspensions. Moreover, our approach yields an effective viscosity enhancement (reduction), as reported experimentally for puller (pusher) microorganisms. DOI: 10.1103/PhysRevE.94.020601 A universal feature shared by many living systems is the emergence of characteristic length and time scales that arise from the nonequilibrium dynamics of their microscopic constituents. Examples range from circadian oscillations in individual cells [1] to multicellular gene-expression patterns in embryos [2] and vortex structures in microbial suspensions, endothelial tissue, and active colloids [3][4][5][6]. Yet, despite their broad biological relevance, it has proved difficult to predict quantitatively how such emergent scales arise from the underlying chemical or physical parameters. In the past decade, bacterial and other active suspensions [4,5,7] have emerged as important biophysical model systems that can help bridge the gap between large-scale spatiotemporal pattern formation and microscopic nonequilibrium dynamics [8]. At high densities, bacterial fluids form coherent vortex structures, spanning several cell lengths in diameter [5,7,9] and persisting for several seconds [9] or even minutes [10][11][12]. Although a number of insightful theoretical models have been proposed [13][14][15][16][17][18], a theory connecting microswimmer properties to the experimentally observed vortex patterns has been lacking.Here, we present such a theory by drawing guidance from the recent observation [5,9] that an effective fourth-order continuum model can provide a quantitative phenomenological description of dense bacterial suspensions [19]. This model, which combines the seminal Toner-Tu description of flocking [20] with the Swift-Hohenberg equation from pattern formation [21], describes the effective bacterial velocity field w(t,x) bywhere the bacterial pressure field q(t,x) accounts for incompressibility, ∇ · w = 0. Although a direct fit of Eq. (1) (1) directly from a generic model for polar microswimmers. The derivation specifies each parameter in the continuum theory in terms of microscopic swimmer parameters and yields direct theoretical ...