Lesser twayblade is an extremely small, vulnerable plant with two egg-shaped leaves on the stem. The stem is often tinted a purplish brown. Lesser twayblade only grows among coniferous needles in old pine forests. The plant was found for the first time in the Netherlands on Ameland in 1949. With the exception of Texel, it soon spread to the other Wadden Islands and a few places in Drenthe. It can still be found in old Scots pine forests on the Wadden Islands, particularly on Terschelling and Ameland. Every once in awhile, it is also found in non-wooded dune slacks on Amrum and in Great Britain.