There are hills, but you can expect that as a runner in a race. The hills are what really make me return to this race every year.I think there were 2 years since I first ran this race that I missed. I have plans to not do that moving forward. Love, LOVE the time they put into creating the shirts and medals. The course is BEAUTIFUL! You only not have the chance to run the streets, but they take you through a local park.When the weather is nice, you are able to see the beauty of Medina. I would recommend this race to those out of town too. Small, but mighty.