Both Fe2O3 thin films and nanorod arrays are deposited using electron beam evaporation through normal thin film deposition and oblique angle deposition (OAD) and are characterized structurally, optically, and photocatalytically. The morphologies of the thin films are found to be arrays of very thin and closely packed columnar structures, while the OAD films are well-aligned nanorod arrays. All films were determined to be in the hematite phase (α-Fe2O3), as confirmed by both structural and optical characterization. Texture measurements indicate that films have similar growth modes where the [110] direction aligns with the direction of material growth. Under visible light illumination, the thin film samples were more efficient at photocatalytically degrading methylene blue, while the nanorod arrays were more efficient at inactivating E. coli O157:H7. The size of the targeted agent and the different film morphologies result in different reactant/surface interactions, which is the main factor that determines photoactivity. Furthermore, an analytic mathematical model of bacterial inactivation based on chemotactic bacterial diffusion and surface deactivation is developed to quantify and compare the inactivation rate of the samples. These results indicate that α-Fe2O3 nanorods are promising candidates for antimicrobial applications and are expected to provide insight into the development of better visible-light antimicrobial materials for food products and processing environments, as well as other related applications.