Most of the river's catchment lies on the western flank of the Pennines. The named river starts as compensation flow from Readycon Dean Reservoir in the moors above Denshaw. The source is a little further north, just over the county border in West Yorkshire, close to the Pennine Way. The highest point of the catchment is Greater Manchester's highest point at Black Chew Head. The river flows generally south through Delph, Uppermill, Mossley, Stalybridge, Ashton-under-Lyne, Dukinfield, Haughton Green, Denton and Hyde. The Division Bridge, marks the meeting point of the traditional boundaries of Lancashire, Yorkshire and Cheshire. The section through Stalybridge was once mooted as a diversion route for the restoration of the Huddersfield Narrow Canal although the canal was later de-culverted along a different route. At the end of its course, the confluence with the River Goyt forms the River Mersey at Stockport. The 19th-century industrial concentrations in the above-named urban areas resulted in the Tame being a much polluted waterway. As well as industrial pollution from the dyes and bleaches used in textile mills, effluent from specialised paper-making , engineering effluents, including base metal washings from battery manufacture, phenols from the huge coal-gas plant in Denton, rain-wash from roads and abandoned coal spoil heaps there was also the sewage effluent from the surrounding population. Up to two-thirds of the river's flow at its confluence with the Goyt had passed through a sewage works. The anti-pollution efforts of the last thirty years of the 20th century have resulted in the positive fauna distributions listed below. The Centre for Ecology and Hydrology measures the flow at two points for the National River Flow Archive, at Portwood weir and at Broomstairs weir. Portwood weir is 1¼ miles above the confluence with the Mersey and contains the great majority of the final flow.
Boundary line
The River has been a border from the earliest times between the Anglo-Saxon kingdoms of Northumbria and Mercia. For its course after the Division Bridge in Mossley the river marks much of the historical boundary dividing Cheshire and Lancashire.
Mouth
The Tame joins the River Goyt at Stockport, forming the River Mersey which eventually flows into the Irish Sea just past Liverpool.
Toponomy
The name Tame is attached to rivers across the UK in several forms, including Thames, Thame, Taff, and Tamar, alongside two other instances of Tame. The name is Celtic in origin, but the meaning is uncertain. Dark river or dark one has been suggested, but Ekwall finds it unlikely; Mills suggests it may simply mean river. The names of the Mersey's co-tributaries Etherow and Goyt are equally ancient and mysterious. Mersey is an Old English name derived from "river at the boundary". The earlier name is lost: Dodgson suggests that Tame may have been the name for the whole of the Mersey. The Metropolitan Borough of Tameside is named after the river. While it flows through the borough, the river neither rises nor finishes inside its boundaries; however, most of the built-up area alongside the river is in Tameside.
Fauna
The fish species present vary along the river's length. The lower reaches are home to coarse fish such as gudgeon, chub, and roach ; pike and perch are also present. The upper reaches support brown trout and smaller numbers of some coarse fish. The populations are self-sustaining. Migratory fish such as Atlantic Salmon and Sea-trout cannot navigate the river as the weir at Reddish Vale is too tall and has no fish pass. Furthermore,
Carr Brook
Diggle Brook
Hull Brook
Swineshaw Brook
and the Tame
are all declared as salmonid waters by statute, and as such have set physical and chemical water quality objectives. Hull Brook is a Site of Biological Importance. Hull Brook and Castleshaw Reservoir have populations of white-clawed crayfish. The river is now clean enough in principle to support otters, but none were found in a survey in 2000–2002.
Environment
In 2018 a study found that the river contained the greatest amount of microplastic contamination of any river yet surveyed.