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Pseudolithos migiurtinus is one of the rarest of the succulent milkweeds. Fleshy, hemispherical, often elliptical in section, pale green or yellow-green to grey stems 12 cm in diameter. The flowers are dark red and about 5/7 mm across.

It needs regular watering, especially during the hottest summer days; provide also some light watering if the green house temperatures in winter are elevated. Either excessive or very scarce watering can induce rot.