It was previously called Thunder Road Marathon and used to feature a NASCAR theme in keeping with the region's close ties to auto racing.

The race course, a loop which begins and ends in Uptown Charlotte, is certified and is a Boston Marathon qualifier.

In 2010 due to the increasing popularity of marathon events nationwide, it was announced that entries would be capped at 3500, although the actual number of entrants has never reached that level.

The event was renamed the Novant Health Charlotte Marathon in February 2016.

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