It rises in Deadwind Pass and can be seen tumbling down a waterfall in southern Redridge Mountains. It then flows west, bordering Duskwood and Elwynn Forest. A tributary flowing from the mountains northwest of Stormwind City tumbles into the river and there the river sharply turns and heads south, marking the borderline of Westfall with the Elwynn Forest, and further south, Duskwood. The river flows into the jungles of Northern Stranglethorn and into Lake Nazferiti. Finally, the Nazferiti River pours into the Great Sea south of Grom'Gol Base Camp.
- Patch 4.0.3a (2010-11-23): Added to Northern Stranglethorn