Rich, moist woods. Ground cover for a shaded area with well drained soil that is high in organic matter. Water during dry periods. Tiarella wherryi is essentially the same plant, but it does not spread to form a ground cover. Cut the stalks 5-7 days after the uppermost flowers have passed.
Air dry the capsules for a few days until they split open, collect the seeds and refrigerate.
Sow the seeds in a flat in early spring and place in sun.