In 2002, overall female winner Tatyana Pozdnyakova of Ukraine set the course record with a finishing time of 2:34:35 (achieved at the age of 47).

In 2011, legally blind runner Amy McDonaugh won the race in the women's division without a guide and with a time of 2:58:14.

From Covington, the route takes the Clay Wade Bailey Bridge back over the Ohio River into Cincinnati.

The third leg goes east to the village of Mariemont before looping back to head towards the river; it ends in Linwood, having traversed 7.67 miles (12.34 km).

In 2024 USA Today named the marathon the best in the US; the newspaper called out the scenic course and the race organizers' sense of fun with the pig theme as being attractive to runners.