The spectacular blaze of flowers make Combretum bracteosum a sought-after plant, especally in medium to large gardens (remember it can reach 5 m in diameter!).  Although its natural habitat is in a warm climate, Denzil Carr writes that he grew the hiccup nut fairy successfully on the highveld but comments that it will need a good supply of water to really grow well.  It apparently was not damaged by frost, although he does not say whether the plant was protected in any way.  It may be wise to grow it in a protected position, perhaps against a west- or north-facing wall in frosty areas.  For gardeners wishing to attract birds, this thick, tangled scrambling plant creates good nesting sites. Combretum bracteosum could be grown up a strongly constructed pergola, along a fence, or down a bank.  To retain a shrub shape, prune off the long twining stems as they grow.  It might prove helpful for gardeners battling against salt-laden winds, as it grows naturally close to the sea and enjoys sandy soil.

The hiccup nut may be grown from seed.  The hard outer shells need to be cracked and the seeds removed.  In general, Combretum seed needs to be fresh for successful germination. The seeds should then be soaked for 12 hours where they will absorb water, allowing germination to begin.  You will see the seeds swell up.  They can be grown lengthways on the seedling mix and covered lightly.  Germination mostly takes place after 26 days, although some may start earlier.  Seedlings can be transferred successfully to bags.  In frosty areas allow the young plants to grow to a height of at least 0.5 m before planting out.  Cuttings with a heel can also be used, as well as lifted rooted suckers from an established plant.  Select well-drained areas for planting, as in its natural habitat it favours growing in sand.  Add planty of good compost to the soil.  Once planted out, flowering should occur in about three years.