Physemacris papillosa is endemic to South Africa. It has a small geographic distribution along the southern cape coastline. Its extent of occurrence (EOO) is ca 2,000 km².
The species is extremely rare and likely to be declining. It has been documented only three times in over 118 years in an areas which have been extensively surveyed. Therefore, it seems likely that the number of mature individuals is low. As the subpopulations appear to be very small and isolated, exchange between them is very unlikely. The population is, therefore, considered extremely fragmented.