Pachypodium bispinosum is mostly confined to the Eastern Cape where is occurs in rocky outcroppings amongst other succulent vegetation. The big tuberous stem is usually hidden underground, but in some indiviual plants protrudes above the soil.
When not in flower the plants are easily confused with the similar Pachypodium succulentum with which it sometimes shares habitat.
The pink-purple flowers of Pachypodium bispinosum appear from early spring to early summer.
Pachypodium bispinosum in habitat near Carlisle Bridge.