| Cover | Nov. 16, 2023 |
| Cover [Abstract] | |
| Document Type | 8-K |
| Amendment Flag | false |
| Document Period End Date | Nov. 16, 2023 |
| Entity File Number | 001-38901 |
| Entity Registrant Name | AXCELLA HEALTH INC. |
| Entity Central Index Key | 0001633070 |
| Entity Tax Identification Number | 26-3321056 |
| Entity Incorporation, State or Country Code | DE |
| Entity Address, Address Line One | P.O. Box 1270 |
| Entity Address, City or Town | Littleton |
| Entity Address, State or Province | MA |
| Entity Address, Postal Zip Code | 01460 |
| City Area Code | 857 |
| Local Phone Number | 320-2200 |
| Written Communications | false |
| Soliciting Material | false |
| Pre-commencement Tender Offer | false |
| Pre-commencement Issuer Tender Offer | false |
| Title of 12(b) Security | Common Stock, $0.001 Par Value |
| Trading Symbol | AXLA |
| Security Exchange Name | NASDAQ |
| Entity Emerging Growth Company | true |
| Elected Not To Use the Extended Transition Period | false |
