SR 69 carries both primary and secondary highway designations and is routed through rural areas.

SR 69/US 64/SR 15 continue west, cross the Tennessee River, and exits Savannah.

A short distance away, SR 202 separates and turns west, and US 641/SR 69 continues north leaving Decaturville.

The highway then crosses the Beech River and enters Parsons to have an intersection with US 412/SR 20 in the center of town.

They then leave Parsons and continue north to Holladay, where they have an interchange with I-40 and cross into Benton County.

They continue into Camden and intersect with US 70 Bus/SR 391, which leads to SR 69A (Old US 641/SR 69), one of only 3 alternate routes in the state, and downtown.

They then exit Camden, with SR 69A paralleling them for a short ways, before diverting onto its own path.

Continuing north, it then has an intersection and short concurrency with SR 140 in Cottage Grove.

In Hardin County, there are two separate sections of this road due to the path of the Tennessee River through this area.

There are also numerous other unsigned historical sections that are named 'Old Highway 69' in Benton & Decatur county.

These alignments generally run nearby the present day SR 69 and most feature narrow roadway width and extensive curves.