The Inqua Khoi people, who historically were the wealthiest group in Southern Africa, originally named this river !Khukaǁgamma, 'the waters with the spirit of abundance' because the river's banks are always green and grassy despite the arid terrain that it runs through.

Presently this river is part of the Fish to Tsitsikamma Water Management Area.

The source of the 250 kilometres (160 mi) long Sundays River is in the Sneeuberge (the highest mountain range in the former Cape Province) near Nieu-Bethesda.

[1] It empties into the Indian Ocean at Algoa Bay after flowing through the village of Colchester, 40 km east of the city of Gqeberha.

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