It is also a part of the cuisine of Ocracoke, North Carolina, which has an annual fig festival.

[16] Fig cake is a part of the cuisine of the Southern United States[citation needed] and a part of Greek cuisine, in which it is referred to as sikopita.

[8][3] Fig cake and similar cakes have traditionally been served in the Appalachian Mountains of the eastern United States as a part of Old Christmas celebrations.

[19] January 6th is the date of the arrival of the biblical Wise Men in Bethlehem.

[8] In Ocracoke, the cake was first prepared by Margaret Garrish sometime in the 1950s or 1960s, and the recipe was picked up by others in the town.