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I have found the species difficult if not impossible to maintain over successive years. Unlike most other helleborus this species does seem to need a narrow set of environmental conditions to thrive. Have never seen an accurate description of the species natural environment, not helped by original the mode of entry to western gardens.
It thrives in both Scandinavia, the UK and East-Coast US. I've seen it in the wild multiple times, always in heavy organic soils, in areas with plenty of spring/summer/autumn rain and rather cold winters.
Is there winter snow cover?