Hyacinthoides paivae is endemic to the north-western part of the Iberian Peninsula, including western parts of Galicia (A Coruña, Ourense and Pontevedra provinces) and north-western parts of Portugal (Beira Litoral, Douro Litoral, Minho and Trás-os-Montes provinces).
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paivae occurs in oak woodland and pine woods growing over Ulex, Erica cinerea and Cistus spp.