The 6–7 mm long seeds have a 2 cm wing and can be wind-dispersed, but are also very often dispersed by spotted nutcrackers.

[5][6] The species was first described in scientific literature by August Grisebach in 1844, based on field observations of montane pines on Baba Mountain, above Bitola.

The tree is also exceptionally good at adapting to severe mountain climate conditions, which makes it a valuable species for afforestation on high terrain for protection against erosion.

The local population use P. peuce resin to cure wounds, pectoral, skin and stomach diseases, varicose veins and other illnesses.

[8] Macedonian pine is also a popular ornamental tree in parks and large gardens, giving reliable steady though not fast growth on a wide range of sites.