The genus Dracaena comprises 190 living species with only a few species reaching the arborescent form i.e., the dragon tree group. It is widely distributed in the tropical and subtropical regions. However, most dragon tree species including Dracaena ombet are endangered, and often endemic with isolated and insular populations with low abundances. D. ombet is one of the Dracaena species found in East Africa. It has two subspecies: D. ombet subsp. ombet and D. ombet subsp. schizantha. It is a flagship species of the dry Afromontane areas and an important part of desert ecosystems: providing substantial socioeconomic, cultural and ecologic values in dryland areas. D. ombet is experiencing a continuous decline throughout its range. D. ombet populations have completely vanished due to dieback or mass death from Erowit in Sudan and may soon be extinct from Gabal Elba in Egypt. The suitable habitat of this species is predicted to decline by 83% in Ethiopia, making it critically endangered with extinction. An endangered species should be at the top of conservation priorities; immediate conservation actions are urgently needed to halt the population decline and prevent species extinction in the wild. This review has started first by described the plant, its ecology, global distribution and uses. The biotic and abiotic threats and challenges for D. ombet conservation were discussed. Finally, we propose possible conservation interventions and further avenues of research for the long-term conservation of the species.