Oval leaf knotweed is indigenous to various regions across Eurasia, from the Mediterranean and Northern Africa to the temperate zones of Asia, as well as in parts of Europe. The plant has successfully established itself in both Northerly and Southerly areas, thriving in the diverse climates these regions offer. Beyond its native expanses, oval leaf knotweed has been introduced to multiple continents including South America, North America, Oceania, and Africa, where it has adapted to local environments and is often found in the wild.