The headwaters of the stream arise in northeast Benton County just southeast of Garfield (at 36°25′09″N 93°55′53″W / 36.41917°N 93.93139°W / 36.41917; -93.93139).
The stream turns to the northwest and flows parallel to U.S. Route 62 through the Bella Vista area to enter Missouri at the community of Caverna.
The stream passes the community of Havenhurst and reaches its confluence with Big Sugar Creek to form the Elk River just south of Pineville (36°35′18″N 94°22′58″W / 36.58833°N 94.38278°W / 36.58833; -94.38278).
[3][1] At Pineville, the creek measures approximately 224 cubic feet per second.
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