St. Anne's Episcopal Church, about 2 km south of Middletown town centre, is a handsome mid-19th-century Gothic Revival stone church set in a large graveyard that functions as one of the more evocative historic sites in the area. The building is modest but well-proportioned, and the graveyard — with its 18th- and 19th-century headstones in varying states of preservation — gives a tangible sense of the community's long history.
The church grounds adjoin St. Anne's Episcopal School, which occupies a much larger campus. The school and the church together are a significant presence in the local landscape. The church itself is open for services and sometimes for individual visitors; the graveyard is accessible at most times.