The race starts and finishes in front of 240 Commercial St (Piantedosi Baking). Runners turn right on Medford St, right on Fellsway East, right on Washington St, right on Glenwood St, left on Summer St, right on Pleasant St, left on Highland Ave, left on Charles St, right on Commercial to finish line. There is a hill on Fellsway East between mile 1.25 and mile 2.5 (see topographical map below). The rest of the course is flat or down hill.
Malden Road Race is sanctioned by USA Track & Field and the course is USATF certified [MA18007BK].