Its total length is 138 km, about 85.75 miles, and the total of the river's basin area spans 1.240 km², more than 770 square miles.
The river flows through Tokyo, on the dividing line between Tokyo and Kanagawa. In the city, its banks are lined with parks and sports fields, making the river a popular picnic spot.
From there flows southeast between Tama Hills and Musashino Terrace. At Hamura is the source of the historic Tamagawa Waterway built by the Tamagawa brothers in 1653 to supply water to Edo (present day Tokyo). Further downstream, the river forms the boundary between Tokyo and the city of Kawasaki in Kanagawa Prefecture. Its mouth on the heavily industrialised Tokyo Bay is next to Haneda Airport.
Levees have been in place for hundreds of years, but floodwaters have breached them numerous times in history. Extensive engineering projects in the early 20th Century have dramatically reduced the amount of flood damage, although a 1974 typhoon caused floodwaters to burst a levee in Komae and washed away 19 houses.
The levees have not been breached since 1974. Projects to further upgrade the levees have been underway since 1990.
As with most major rivers in Japan, the levees are built some distance away from the river itself to accommodate the extra floodwater. The open expanse between the levees and the river in the middle is covered in grass and shrubbery, forming a much-needed belt of greenery and wide open space which is used as playing fields in many places.
Rapid post-war urbanisation of surrounding areas took its toll on Tama River, whose water quality in the urban areas plummeted from 1950's onwards rendering it inhabitable for most species. Pollution control measures and the river's official designation as a wildlife protection zone have now led to the return of many species.
Carp, rainbow trout, seema, iwana (char), ugui (big-scaled redfin) and ayu all inhabit Tama River in sufficient numbers for limited commercial fishing to take place in upstream areas. Recent moves to fit weirs with fish ladders have resulted in a steep increase in the numbers of ayu migrating upstream. Other fish such as loach as well as the likes of crabs and turtles also inhabit the river.
Kingfishers, White Wagtails, Spotbills, Japanese White-eyes, and Black-headed Gulls are among birds often seen at the river. Various types of ducks have made a comeback after the 1969 designation of the river as a wildlife protection zone. The expanse of greenery between the levees and the river itself attract additional wildlife.
Near the outskirts of Tokyo, the river is a popular kayaking spot, with the Japan National Slalom Kayak competitions being held on the Tama River where it passes through Mitake.
Further down, sports fields appear on both banks of the river, with many teams practicing or playing a range of sports here on a regular basis, including baseball, soccer and rugby union. (There is a rugby club named after the river, called Tamariba Club.) There are also many playgrounds, park spaces and golf driving ranges found on the side of the river as it passes through the city.
A bike path and running track travels the length of the river through urban Tokyo, extending to the river mouth in Tokyo bay.