This is widespread in north-central states and adjacent Canada east of the Rockies. Although there are many records from Ky., the species generally occurs in patches of just 1-10 plants. A. hyemale may be most common mesic to submesic woods on moderately base-rich fertile soil, but it is rare ro absent in most of the Bluegrass region and other landscapes with a long history of agricultural disturbance. V. Holmgren (pers.comm.) established several plants at her garden in Lexington (FAYE), but after a few years chipmunks consumed them all.