We show that metric abstract elementary classes (mAECs) are, in the sense of [15], coherent accessible categories with directed colimits, with concrete ℵ1-directed colimits and concrete monomorphisms. More broadly, we define a notion of κ-concrete AEC—an AEC-like category in which only the κ-directed colimits need be concrete—and develop the theory of such categories, beginning with a category-theoretic analogue of Shelah’s Presentation Theorem and a proof of the existence of an Ehrenfeucht–Mostowski functor in case the category is large. For mAECs in particular, arguments refining those in [15] yield a proof that any categorical mAEC is μ-d-stable in many cardinals below the categoricity cardinal.