Medeola virginiana shoots consist of two tiers of
whorled leaves. The lower tier typically bears between five and nine (occasionally up to 12) lance shaped leaves. The upper tier bears three to five
ovate leaves. The leaves have an entire (smooth)
margin. Some individuals lack a second tier of whorled leaves. The second tier is produced when the plant
flowers. When two-tiered, plants grow to high. The flowers have yellowish green
tepals and appear in late spring. The
fruit is a dark blue to purple, inedible
berry above the top tier of leaves. Indian cucumber-root shoots arise each spring from an overwintering
tuberlike structure. This structure produces a series of horizontal
rhizomes at 45 degree angles which produces a
clonal colony of plants in an octagonal pattern. ==Taxonomy and systematics==