[1][2][3] It is an aquatic high-altitude species found in Lesotho and neighbouring South Africa.

[4] Amietia vertebralis occurs in cold, clear mountain streams of montane grasslands at elevations of 1,600–3,400 m (5,200–11,200 ft) above sea level.

Tadpoles and juveniles spend more time closer to the surface and in shallower pools than adults.

[5] It is a locally abundant species that is typically associated with pristine areas, although it can also occur in polluted sites.

Its use in local traditional medicine for treating burns is probably not occurring at a level that could constitute a threat to the species.