The ovaries of the twin flowers fuse together, so that there are two flowers for each berry. The two bright red spots on each berry are vestiges of this process. The fruit ripens between July and October, and may persist through the winter. The fruit is a drupe containing up to eight seeds. The fruits are never abundant. They may be part of the diets of several birds, such as ruffed grouse, sharp-tailed grouse, northern bobwhite, and wild turkey. They are also consumed by foxes, white-footed mice, and skunks. The foliage is occasionally consumed by White-tailed deer.