HD predominantly, but not exclusively, affects the brain. This is important because evidence for HD pathology beyond the brain means that peripheral tissues may serve as a source for biomarkers. Like the brain several peripheral tissues may have compromised mitochondrial biology. The mitochondrial signature in the most easily accessible peripheral tissues has biomarker potential for HD including the prodromal phase where HD expansion mutation carriers are well. We examine many aspects of mitochondrial biology including respiratory chain activity, ATP generation, biogenesis, mitochondrial dynamics and mitophagy.