The majority of rural communities in South Africa are characterised by insufficient nutrition and food insecurity at the household level. Due to a lack of information about indigenous fruit trees and their use, food-insecure households are missing out on the nutrition that these fruits provide. Strychnos spinosa Lam. (monkey orange; umHlala) has been identified as one of southern Africa’s top priority fruit species for domestication. However, indigenous information on S. spinosa usage and morphological diversity is still lacking. Indigenous knowledge of species characteristics might be a good place to start when attempting to understand variations in key phenotypic traits. Information on the use and morphological variation of S. spinosa was collected from participants of 100 randomly selected homesteads. Participants were interviewed using a structured questionnaire. The results indicate that S. spinosa is a multi-purpose tree with numerous uses. Most respondents (97%) mentioned that they use it for fermented maize meal (umBhantshi); and others mentioned fermented porridge (amaHewu); alcohol; fruit; juice; jam; homestead protection; snakebite; firewood; food allergy; livestock increase; and only 7% mentioned for stomachache. Morphological variation was observed in leaf colour and shape, fruit rind colour, size, rind texture, pulp colour, pulp texture, and taste. However, the most mentioned variety featured green (78%), rounded leaves (78%) and green (39%), large (46%), smooth-textured rind (73%) fruits that had brown pulp (54%) and tasted sweet (58%). Understanding local knowledge systems and preferences can thus inform the selection of ethno-varieties that hold importance to local people and the potential to improve livelihoods in externally led domestication and development programs.