Hitcham is a long, linear settlement with some nice thatched cottages. It was recorded in Domesday as "Hecham". Rev. Professor John Stevens Henslow, one time rector of the parish, was also the tutor and mentor of Charles Darwin whilst he was at Cambridge. Henslow was also a prime mover behind the establishment of Ipswich Museum and assisted Sir William Hooker at Kew Gardens.
The Mill House (on the Water Run, near Brettenham Road) is an early or mid 19th century house associated with an old tower mill which stood nearby from 1820 until 1928.
In 1844 White's Directory a beer house is listed run by Jonathan Squirrell.