This plant makes an excellent addition to a well-drained rockery and copes well in either sandy or more clayey soils. In spring the new leaves provide a wonderful red colour, while later in the year the large sea-green heart-shaped leaves on the red zigzag stems provide good textural contrast to many other rockery plants, especially if given a prominent position where they can be admired. In order for them to be seen they should be grown amongst low growing fynbos plants such as small types of restios, buchus, daisies, ericas, bulbous plants and other members of the Protea family which will not overwhelm them.

At the Harold Porter National Botanical Garden they have only been grown from seed but it is mentioned in the literature that they have also been propagated from cuttings. Treat the seed with a fungicide during storage or just before sowing to prevent infection and improve the chances of germination. Sow in a well-draining mixture of one part loam, one part leaf mould or finely sieved, well-rotted bark and two parts of coarse sand during autumn. Cover with a layer of sand and water thoroughly.

Keep the soil moist but not wet and place in a sunny position in the glasshouse. Once germination takes place and the first true leaves appear, prick out the seedlings into individual containers containing a similar well-drained soil mix such as that used for sowing. Keep the plants just moist and harden off under 40% shade cloth for a couple of weeks. Move them into the sun and once the plants attain a height of 200 mm they can be planted out into the chosen sunny position in the garden. Mulch around the plants, being careful not to allow the mulch to touch the stems. Keep them just moist until they have established well. Prune old stems each year so that new growth will be promoted.