Schinziophyton rautanenii is a multipurpose plant species in Southern Africa which provides numerous ecosystem goods and services. This review evaluated the contribution of the species to sustainable diets, livelihood needs and environmental sustainability throughout the geographical range of the species. The literature relevant to the study was obtained from scientific databases such as ScienceDirect, SciFinder, Pubmed, Google Scholar, Medline and SCOPUS. Literature was also obtained from the University of Fort Hare library, dissertation search engines like ProQuest, Open-thesis, OATD, and EThOS. S. rautanenii is an essential source of food, herbal medicines, income, oil, timber and wood. The species provides substantial health, economic and ecological benefits to local communities that depend on the species as a source of livelihood needs. This study represents a holistic view on multiple ecosystem goods and services that are derived from S. rautanenii forming an essential component of the 2030 Agenda for sustainable development goals (SDGs) adopted by the United Nations General Assembly. Use, cultivation and management of S. rautanenii in Southern Africa offers enormous potential for contributing to the fulfillment of the SDGs, resulting in improved food security, household nutrition and health, income, livelihoods, ecological balance, sustainable diets and food systems.