[1] The river is unusual in that it has two mouths, one - called Kyukitakami River - flowing south into Ishinomaki Bay and the other flowing east into the Pacific Ocean, both in Ishinomaki City.

Numerous dams have been constructed on the river and its tributaries from the Taishō and Shōwa periods for hydroelectric power generation, flood control and irrigation.

In Iwate Prefecture from north to south showing from which direction the water flows and the city where it empties into the Kitakami River.

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