The Run Crazy Horse Marathon covers 26.2 miles of Black Hills scenery, an all-downhill, point-to-point trail run. Runners start near the Crazy Horse Memorial, the world's largest mountain carving, and proceed into the Black Hills.
The course follows the Mickelson Trail for a consistent downhill path. All participants, regardless of distance, finish on Main Street in Hill City, marking their accomplishment within the Black Hills setting.