[1][2][3] It emerges from the Ciuc Mountains in the Eastern Carpathians and joins the Siret in Domnești-Sat near Adjud after passing through Comănești and Onești in Bacău County.

[2][5][6] The following towns and villages are situated along the river Trotuș, from source to mouth: Lunca de Sus, Lunca de Jos, Ghimeș-Făget, Palanca, Agăș, Comănești, Dărmănești, Târgu Ocna, Onești, and Adjud.

The following rivers are tributaries to the Trotuș (from source to mouth):[2] Left: Gârbea, Valea Întunecoasă, Antaloc, Valea Rece, Bolovăniș, Tărhăuș, Șanț, Cuchiniș, Brusturoasa, Caminca, Șugura, Dracău, Agăș, Seaca, Ciungi, Asău, Urmeniș, Plopul, Larga, Cucuieți, Vâlcele, Gălian, Caraclău, Tazlău, and Pârâul Mare.

Right: Comiat, Bothavaș, Ugra, Boroș, Valea Capelei, Aldămaș, Popoiul, Ciugheș, Cotumba, Grohotiș, Sulța, Ciobănuș, Șopan, Uz, Dofteana, Slănic, Nicorești, Oituz, Cașin, Găureana, Gutinaș, Bogdana, Gârbovana, Căiuți, Popeni, Bâlca, and Domoșița.

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