Optimum habitat of the flattened musk turtle appears to be free-flowing large creeks or small rivers with vegetated shallows about 2 feet (0.61 meters) deep alternating with pools 3.6 to 5 feet (1.1 to 1.52 meters) deep. These pools have a detectable current and an abundance of crevices and submerged rocks, overlapping flat rocks or accumulations of boulders. Habitats with high amounts of sand are also suitable as long as plenty of bedrock, boulder and cobble substrate exist with suitable food supply. In impounded systems, the turtle can be found in the headwaters and around the margins of lakes. Turtles in lake habitats often prefer areas along the bank that have an abundance of shelf like rocks. Other factors that indicate good habitat quality for this turtle include abundant snails and mussels, low silt load and deposits, low nutrient and bacterial counts, moderate temperature and minimal pollution.? 

The diet consists primarily of mollusks, including snails, mussels and clams, and aquatic insects. Adults appear to target and feed primarily on aquatic snails, clams, including the non-native Asiatic clams, and mussels. Juveniles, turtles that are less than 2.75 inches (6.99 centimeters), primarily prey upon softer-bodied aquatic insects.? 

The turtle is active during the months of April to October. Adult flattened musk turtles are primarily nocturnal. While juveniles are more?likely than adults to be active during the day, they are also most active with darkness.?? 

The flattened musk turtle is a small aquatic turtle with a distinctly flattened carapace, or upper shell, up to 4.7 inches (11.93 cm) long.? 

Female flattened musk turtles reach sexual maturity at 6 to 8 years of age, while males require only four to six years to reach sexual maturity. Females lay two clutches of eggs per year, with clutch size ranging from one to three eggs. Ovulation occurs in May, for the first clutch, and in June, for the second clutch. Eggs in the first clutch are usually laid in May, while eggs in the second clutch are laid in the middle of June through early July. The incubation period is not known, although, one natural nest that contained two eggs took at least one and a half months to hatch. The nesting season is May through September. While very little is known about nesting preference of the flattened musk turtle, it is thought that they nest within 100 feet from the river bank in full to partial sun areas such as woodlands and roadsides.?