Polygonum utahense has been treated as a synonym of P. sawatchense by some authors (e.g., S. L. Welsh et al. 1987; J. T. Kartesz and C. A. Meacham 1999). Its perianth morphology suggests a relationship with P. cascadense, from which it differs in its dwarf habit and uniformly papillose leaves with margins revolute, touching along midribs.