Mexico, the Caribbean, Central America, and much of South America. It has been introduced to tropical regions around the world, such as Southeast Asia and Hawaii. It is a creeping vine like other members of the genus, and yields an edible fruit. The specific epithet, foetida, means "stinking" in Latin and refers to the strong aroma emitted by damaged foliage.

The stems are thin and wiry, covered with minute sticky yellow hairs. Older stems become woody. The leaves are three- to five-lobed and viscid-hairy. When crushed, these leaves give off a pungent odor that some people consider unpleasant. The flowers are white to pale cream coloured, about 5–6 cm diameter. The fruit is globose, 2–3 cm diameter, yellowish-orange to red when ripe, and has numerous black seeds embedded in the pulp; the fruit are eaten and the seeds dispersed by birds.