Peermade's history is intertwined with the spice trade and the arrival of the British. Initially inhabited by tribal communities, the region gained prominence during the colonial era as a significant producer of spices, especially cardamom. The name Peermade, meaning "saint's plateau," is believed to be derived from the presence of a Muslim Sufi saint, Peer Mohammed, who is said to have mediated disputes between local tribes. The British established plantations and introduced tea and coffee cultivation, transforming the landscape and economy of the area. Remnants of the colonial past can still be seen in the architecture and administrative structures of Peermade.