Water moderately when the top 2-3 cm of soil feels dry. Ruscus hypophyllum prefers consistent moisture but dislikes waterlogged conditions. Reduce watering significantly during winter dormancy to prevent root rot.

Ensure good drainage to avoid issues.

Prune only to remove dead, damaged, or leggy stems. This can be done at any time of year. Avoid heavy pruning as it can be detrimental to the plant's health and appearance. Focus on maintaining a natural shape.

Propagation is typically done by rhizome division in spring. Carefully separate portions of the rhizome with at least one bud and roots. Replant immediately in well-draining soil.

Alternatively, seeds can be sown but are slow to germinate.

Repot only when the plant becomes root-bound, usually every 2-3 years. Use a well-draining potting mix. Repotting is best done in spring before new growth begins.

Choose a pot that is only slightly larger than the current one.