Known as Fairmount Road, the state highway runs 5.62 miles (9.04 km) from the beginning of state maintenance in Upper Fairmount east to MD 413 in Westover.

MD 361 provides access to the villages of Manokin and Upper Fairmount.

The state highway was constructed from the Westover end beginning in 1926.

MD 361 heads east as a two-lane undivided road through the Upper Fairmount Historic District, passing Upper Hill Road and an old alignment of the highway, Jones Factory Road, before leaving Upper Fairmount and running through the Chesapeake Forest Lands.

The state highway leaves the forest and passes through the hamlet of Manokin, where the highway intersects Millard Long Road, which heads north toward Revells Neck, and River Road, which heads south toward Kingston.