It is the main road connecting Silver Lake with Ossipee.

The highway skirts the western edge of the lake named Silver Lake and provides access to local roads at the lakeside.

NH 41 proceeds northeast, crossing through a small corner of southeastern Tamworth before entering the town of Madison.

NH 41 turns due north and skirts the western edge of Silver Lake for a few miles before ending at NH 113 in the village of Silver Lake, near the lake's northern tip.

The entire route is in Carroll County.