It is probably safe to say that C. alstonii cannot be confused with any other plant species because of its unique appearance. The leaves are arranged in two rows and closely adpressed – at least in nature; in cultivation this is difficult to maintain. Each of the almost spherical rosettes is 2-5 cm in diameter.
The plants are found in northern Namaqualand, from just south of Lekkersing to near Komaggas, where they grow on low, gently sloping hills usually covered with quartzite gravel. This is a rather restricted distribution area, but in some places the plants are quite common.