Has been equated to P. borealis Duby, though it was noted in the Flora of North America that the complex centered on P. modesta in Far East Russia and Japan was difficult to distinguish from that centered on P. borealis as they are morphologically similar but differing in chromosome number. Distinguished from P. borealis by the notched leaf margin with sharp, curved teeth, petiole attenuate and non-saccate bracts. P. mistassinica has less conspicuously serrate leaves and long-exserted capsules. More recently, distinguished by genetic analysis, and found to be near to P. bukukunica and P. fauriei (modesta) -See reference paper.