In middle course of the river is the Shizukuishi Basin, occupied by the Yuguchi lake deposits from the Late Miocene.

[2] The Shizukuishi River rises in the Ōu Mountains just south of Mount Akita-Komagatake in the town of Shizukuishi and empties into the Kitakami River in the city of Morioka.

The Gosho Dam is situated on the Shizukuishi River in western Morioka.

The entire length of the river is home to many renowned hot springs.

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