The South Esk springs from the eastern foothills of the Ben Lomond plateau near Mathinna and the river's course describes an arc around the entire southern promontory of the mountain - running through Fingal, Avoca and Evandale before wending its way northwest through Longford and Hadspen. The river merges with the tributary Meander River, then flows through the narrows of the Cataract Gorge to finally meet theNorth Esk River at Launceston. From this confluence arises kanamaluka/Tamar River, which runs to the Bass Strait. The natural river flow is interrupted by the Trevallyn Dam, near Launceston, constructed as part of the Trevallyn Power Station hydroelectric power scheme. The river is subject to flooding which overflows at Lake Trevallyn to create the spectacle of high rapids coursing through the narrows of the Gorge. The river's two largest tributaries are the Macquarie and Meander Rivers, with lesser tributaries being the Nile River, River Tyne, Storys Creek and the Break O'Day River - upstream of the junction with the Macquarie. The Meander's main tributaries are the Liffey River and Quamby Brook and the Macquarie's main tributaries are the Lake, Isis, Elizabeth, Blackman, and Tooms rivers. These tributary watercourses drain the entire north Midlands valley, the watersheds of the Western Tiers, Ben Lomond plateau and Eastern Ranges south of Ben Lomond.
History
Indigenous history
The river is known in palawa kani, the language of Tasmanian Aborigines, as plipatumila. Other recorded Tasmanian Aboriginal Tasmanian Aboriginal names for the river are mangana lienta and mooronnoe. The South Esk River runs through, and forms the borders of, traditional lands of two nations of the Palawa. The Ben Lomond Nation occupied territory enclosed by the river's western and southern stretches and occupied the entire upper reaches as far as its northern watershed. The Panninher, Tyrernotepanner and Leterremairrener clans of the North Midlands Nation occupied the territories to the west of the river. The Aboriginal clans exploited the hunting grounds alongside the river and took the native freshwater mussel for food. The river was frequented by Aboriginal people and remnants of their campsites and toolmaking have been found along the river. The ethnographic record describes particular meeting areas, or 'resorts', on the river; such as Stony Creek, near Llewellyn; Glen Esk ; Native Point, near Perth; and at Hadspen.
European history
The river was renamed by Colonel William Paterson in December 1804 after the eponymous Scottish river.