The road, (from south to north) starts at Twyford, Worcestershire and runs through the villages of Norton and Harvington, before passing into Warwickshire, Iron Cross and then Dunnington.
It then turns left at the crossroads, passes through Weethley, passes back into Worcestershire and then becomes the A441 where it terminates just south of Cookhill.
The road was previously the A435 between Twyford and Dunnington, where it turned left and became the A441.
Since it was built in 1995 the A46 dual carriageway between Evesham and Alcester now largely supersedes this road.
[1] There is a brief dual carriageway (176 yards) with a 70 mph speed limit just after the roundabout with the A44.