Karuah River rises on the southeastern slopes of
Gloucester Tops of the
Great Dividing Range, below The Mountaineer, southwest of
Gloucester, and flows generally southeast and south. joined by eleven
tributaries including the
Telegherry,
Mammy Johnsons, and
The Branch rivers, before reaching its
mouth within
Port Stephens at
Karuah, and then flows out to the
Tasman Sea of the
South Pacific Ocean. The river descends over its
course. ==Etymology==