Russula ochroleucoides looks very similar to Russula flavida, which has a yellow rather than a white stem. The yellow cap is convex becoming flat with a somewhat darker shallow depression. The cuticle does not easily peel. Flesh is white. Its close gills are white to cream discoloring or spotting yellowish-brown to rusty-brown with handling. The white smooth stem becomes yellowish to brownish. Spore print is whitish to cream. Russula ochroleucoides is mycorrhizal with hardwoods, especially beech and white oak. Taste is slightly acrid and oily.