The village was founded before the 12th century in the former Hungarian Szepes County (Szepes is Hungarian for beautiful). The first historical records of its existence are from 1253. The village name is derived from the Slovak word for pear (hruška) and its former Hungarian names incorporated the equivalent Hungarian word for pear of "körte". Local folklore refers to a large pear tree located on a nearby hill that was supposed to have had mysterious powers. The tree is now gone but the story lives on. The coat of arms of the village is a tree on a hill with four pears on its branches.
Below is a chronology of the former Hungarian, German, and Slovak names of present day Spišský Hrušov:
1253 - Kurtues, Kurtueles
1255 - Kurtuelus
1294 - Horusk, Hurusk
1360-1364 - Hruschfálva, Hruskfálva, Hruskafálva
1368 - Grussov
1386 - Graucza
1495 - Grawss
1500 - Hrussow
1773 - Körtvélyes, Körtvélesz, Bierndorff, Grossow
1786 - Körtwélyesch, Birndorf, Hrussow
1808 - Körtvélyes, Birndorf, Grausch, Hrussow
1863-1902 - Körtvélyes
1907-1918 - Szepeskörtvélyes
1920 - Hrušov
1927 - Spišský Hrušov
Next to the town hall is the Gothic style Roman Catholic church of St. Catherine of Alexandria (Kostol svätá Kataríny Alexandrijskej). It was built in the late 13th century, rebuilt in the 17th and 18th centuries, renovated in 1900 and again in 1951. The Chapel of St. Sofia (Kaplnka svätá Žofie) adjoins the northeast side of the church.
The only industry in Spišský Hrušov is BIO-plus, s.r.o, a company that manufactures motor fuel from organic plant material. It is located at the northeast end of a road that follows a tributary of the Lodina River that runs through the village.
The village lies at an altitude of 424 meters (1,391 feet) and covers an area of 13.07 km2 (5.05 sq mi). It has a population of about 1,200 people. Spišský Hrušov is 12 km (7.5 mi) east of Spišská Nová Ves on highway 536. The surrounding land is gently rolling fields. A tributary of the Lodina River runs through the village. The Lodina River joins the Hornád River at the village of Vítkovce about 2 km (1.2 mi) southeast of Spišský Hrušov.
- Vlastivedný Slovník Obcí na Slovensku, VEDA, vydavateľstvo Slovenskej akadémie vied, Bratislava 1978.
- Milan Majtán (1998). Názvy Obcí Slovenskej republiky (Vývin v rokoch 1773-1997), VEDA, vydavateľstvo Slovenskej akadémie vied, Bratislava, ISBN 80-224-0530-2.