There are several small towns located in the midlands, including: Pietermaritzburg, Richmond, Ixopo, Kokstad, Howick, Merrivale, Hilton, Lions River, Dargle, Lidgetton, Balgowan, Nottingham Road, Rosetta and Mooi River.
The Midlands Meander is several tourism routes that include accommodation, art and crafts, leisure, activities and restaurant stops.
Some of South Africa's top private schools are located in the Midlands, including: Cowan House, Clifton Preparatory School, Treverton Preparatory School and College, Hilton College, Michaelhouse and St. Anne's Diocesan College.
The region is also becoming known as a wine-producing region.
Many parts of the Midlands Meander resemble the Northern European countryside as there are lush green pastures for cattle to graze on, in order to produce milk and cheese and many species of European trees and bushes planted by the English and Dutch settlers.
- Marutswa Forest, a location within the Midlands