Here we demonstrate, by crystal structures, the self-assembly of the human and primate antibacterial LL-37 active core (residues 17-29) into a densely packed hexameric fibrillar architecture of amphipathic helices. The fibril is composed of four-helix bundles with a hydrophobic core, while a network of polar interactions stabilizes contacts between bundles, overall forming a stable fibrillar configuration that is also thermostable in solution. Despite similarity in sequence and the formation of fibrils composed of amphipathic helices, the LL-3717-29 fibril structure was significantly different from the cytotoxic bacterial PSMα3 peptide, which fibrillates into amyloid cross-α fibrils. LL-3717-29 formed wide, ribbon-like fibrils, which colocalized with bacterial cells; structure-guided mutagenesis analysis indicated the importance of its helical self-assembly in antibacterial activity and interactions with bacteria. This work extends the previously reported link between antibacterial activity and the formation of ordered amyloid fibrils, to helical, stable, hexameric fibrils. This fibril-antibacterial link suggests a tunable mechanism of action and offers a prospective to design antimicrobial peptides with improved stability and bioavailability.