Coniothyrium hellebori is a fungus that causes the most common fungal disease for helleborus species known as Hellebore black spot or leaf spot. The disease is most common not only in botanical and ornamental gardens, but also in hellebore nurseries as well. Visible symptoms include blackish-brown spots that often appear as rings on the leaf blade or at the margins of the leaf. The spots will continue to grow larger as the disease progresses, retaining an elliptical or circular shape and turning a dark brown or black color. The spots will grow until they have infect the whole leaf. Petioles and flowers can also be infected, but the disease is primarily seen in the leaves. The symptoms become visible in the spring and worsen with time.