It then intersects US 422 and leaves the freeway onto a residential two-way street.

It continues north past Interstate 80 as a four lane rural road.

OH 193 was designated between 1967 and 1969 along a former portion of OH 170 from US 422 in Youngstown to its current northern terminus in North Kingsville.

Meanwhile, the freeway section of OH 193 between US 422 and its current southern terminus at I-680 was completed at around the same time that OH 193 was assigned.

The original OH 193 was routed from the Indiana state line 3 miles (4.8 km) west of Hicksville to Hicksville along the current alignment of OH 18.