The creek is born in Blue Mountain at Fort Indiantown Gap, East Hanover Township by the confluence of several branches, flowing southwest. The gap through the mountains which it flows through is known as Manada Gap. Later, it becomes the border of East Hanover and West Hanover townships, continuing to wind through forests and agricultural farmland before spilling into the Swatara Creek along the outskirts of the unincorporated community of Sand Beach.