Game Lands Number 118 runs along the ridge of Tussey Mountain and extends down the slopes on either side to Morrisons Cove to the west and Woodcock Valley to the east. It consists of three parcels located in Catharine and Woodbury Townships in Blair County, and in Penn, Porter and Walker Townships in Cambria County. Canoe Creek State Park is located about to the west, Trough Creek State Park is located about to the southeast, Raystown Lake is located about to the east, and Rothrock State Forest is located adjacent to SGL 118 to the north. Other nearby Pennsylvania State Game Lands include Number 322 to the east, 71 and 99 to the southeast, 67 to the south, 73 to the southwest adjacent to SGL 67, and 147 and 166 to the west. The northwest slopes are drained by the Frankstown Branch Juniata River and its tributaries, and the Woodcock Valley side is drained by Raystown Branch Juniata River, Raystown Lake and tributaries. Both branches lead to the Juniata River, which is part of the Susquehanna River watershed. Nearby communities include the boroughs of Alexandria, Huntingdon, Marklesburg, and Williamsburg, and populated places Aitch, Alfarata, Barree, Blairfour, Brumbaugh Crossing, Carlim, Covedale, Ganister, Hesston, Larke, McConnellstown, Mount Etna, Neff, Oreminea, Point View, Robeson Extension, Shaffersville, Shelltown, Shellytown, Springfield Junction, Water Street, Wertz, and Yellow Spring. U.S. Route 22 runs northeast on the east side of SGL 118, crosses through the pass just northwest of Alexandria at the northern border of SGL 118, then turns southeast at the junction with Pennsylvania Route 45. Pennsylvania Route 453 meets Route 45 just north of the 22\45 intersection. Pennsylvania Route 26 runs northeast-southwest along the eastern side of the Game Lands and meets with Route 22 just west of Huntingdon.