Basal rosettes usually well developed. Cauline leaves not or only slightly longer than wide, i.e., length-width quotient usually 0.6-1.1 (average 0.9); plantlets frequently produced. 2n = 28.

Flowering spring-summer. Moist woods, particularly along streams; 0-1800 m; B.C.; Alaska, Oreg., Wash.

Hybrids (with 2n = 21) between Tolmiea menziesii and Tellima grandiflora have been reported from Washington (D. E. Soltis and B. A. Bohm 1985). The Cowlitz Indians applied a poultice of fresh leaves to boils and the Mahak Indians ate raw sprouts in early spring (D. E. Moerman 1998).