Amyloid  proteins spontaneously form fibrils in vitro that vary in their thermodynamic stability and in morphological characteristics such as length, width, shape, longitudinal twist, and the number of component filaments. It is vitally important to determine which variant best represents the type of fibril that accumulates in Alzheimer disease. In the present study, the nature of morphological variation was examined by darkfield and transmission electron microscopy in a preparation of seeded amyloid  protein fibrils that formed at relatively low protein concentrations and exhibited remarkably high thermodynamic stability. The number of filaments comprising these fibrils changed frequently from two to six along their length, and these changes only became apparent when massper-length (MPL) determinations are made with sufficient resolution. The MPL results could be reproduced by a simple stochastic model with a single adjustable parameter. The presence of more than two primary filaments could not be discerned by transmission electron microscopy, and they had no apparent relationship to the longitudinal twist of the fibrils. However, the pitch of the twist was strongly affected by the pH of the negative stain. We conclude that highly stable amyloid fibrils may form in which a surprising amount of intrinsic linear heterogeneity may be obscured by MPL measurements of insufficient resolution, and by the negative stains used for imaging fibrils by electron microscopy.Amyloid fibrils are filamentous aggregates formed by many different proteins in various diseases both in and out of the central nervous system (1). Fibrils formed by 40-residue (A40) and 42-residue (A42) amyloid  (A) 2 proteins comprise the amyloid plaques of Alzheimer disease. Considerable effort has been expended to determine how A proteins are folded within fibrils, yet the models emerging from these efforts differ significantly (1-8). Contributing to uncertainty about the internal structure of fibrils is a growing appreciation that A fibrils are polymorphic when examined by transmission EM, cryo-EM, and AFM (7, 9 -19).Two morphological features have particularly important implications with regard to the internal structure of amyloid fibrils. One feature is a periodic narrowing observed in many transmission EM studies suggesting that fibrils twist around their long axis. The other feature is the fibril MPL, measured by dark field or tilted-beam EM. From this measure, the number of filaments comprising the fibril may be determined. We follow the terminology conventions defined by Kodali et al. (12) with the exception that "protofilament" is shortened simply to "filament."Fibrils with different morphologies can be created by varying fibril growth conditions such as temperature, buffer composition, agitation, and protein concentrations. Once formed, fibrils with a given morphology induce monomeric proteins to form "next generation" fibrils with the same morphology (10). Despite attempts to use identical conditions of formation, different laborat...