Examples of the present disclosure provide a light distribution element, a light source module and a lamp, the light distribution element includes a light entry surface, a first light exit surface and a second light exit surface, the first light exit surface is configured to receive part of light entering the light entry surface and emit the part of the light entering the light entry surface; the second light exit surface is a reflective surface, and the second light exit surface is configured to receive part of the light entering the light entry surface and reflect the part of the light entering the light entry surface; and a direction of the light emitted from the second light exit surface is different from a direction of the light emitted from the first light exit surface, it can be used for key lighting and lighting ceiling areas respectively.