Streptocarpus confusus is found in shady areas of forests, usually along rocky banks and prefers a dry climate. Very little information is known about growing Streptocarpus confusus or its subspecies. These tips and points could, however, be applied when attempting cultivation or propagation. A very important point to note for this species, is that the soil should be well-drained and not constantly watered.

Monocarpic species such as the S. confusus generally takes 1.5–2 years to grow, thereafter flowering, producing seeds and dying off. If plants are grown indoors with natural ‘window’ light, they exhibit natural blooming patterns. If a tube light is used in the cultivation process, many flowers are produced across the spring and summer seasons, with only occasional blooming for the rest of the year. 

When growing Streptocarpus from seed; distribute seeds evenly across a moist soilless medium. Do not cover seeds with soil or other mixtures. Ensure this medium is only slightly ‘damp’ and not saturated with water. Cover the vessel and after 3–8 weeks you should observe sprouting.

Leaf cuttings are the most appropriate method for Streptocarpus propagation. Cut leaves into 5 cm sections and place into a pot/vessel containing a soilless mix. Leaves may be cut horizontally or vertically. Take note that when propagating during the spring and summer months, it takes just a couple of months to produce new plants, whereas during winter propagation, plants are produced after a longer period. Successful propagation is achieved by placing young plants not too deeply into the soil and in small-sized pots.

Hybridisation: If hybridised with rosette-shaped Streptocarpus species, half of the offspring will produce multiple leaves during early stages; of these seedlings a quarter are monocarpic.