The highway heads north along two-lane Belvidere Road, which crosses the Frying Pan River as the route follows the stream to its source, a mountain pass in which the highway intersects the Long Trail.

VT 118 descends west to Belvidere Pond, one of the headwaters sources of the North Branch Lamoille River, and crosses the pond's outlet immediately before entering the town of Belvidere.

The highway crosses Calavale Brook and the North Branch proper at the T-intersection of Belvidere Corners, where VT 109 continues west while VT 118 turns north.

At the north end of the bridge, the highway has a T-intersection with VT 105 in the village of East Berkshire.

The highway crosses the Pike River and passes the historic West Berkshire School before reaching its northern terminus at VT 108 (West Berkshire Road).