The helleborines plant genus requires moderate to bright indirect light, with warmer temperatures in summer (60–75°F) and cooler in winter (50–60°F). It thrives in well-draining compost-based potting mix supplemented with leaf mold or garden loam. Several helleborines species, however, prefer alkaline soil. Commonly affected by vine weevils, aphids, and fusarium wilt, this hardy shrub may have diverse difficulties depending on its specific species. Spring to summer is its optimal growth period that may require slight increases in watering and perhaps some added nutrition. Additionally, avoid overwatering in autumn and winter months, keeping the plant in a well-lit, cooler location.