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Karuah is a locality in both the Port Stephens and Mid-Coast Councils in the Hunter Region of New South Wales, Australia. It is thought that the name means 'native plum tree' in the local Aboriginal dialect.

The primary appeal of Karuah lies in its location beside the Karuah River. It is ideal for a picnic in Longworth Park, a swim in the tidal pool and a walk along the banks of the river. The main historic interest in the area is located in the tiny towns which are nearby - Swan Bay, North Arm Cove, Carrington and Tahlee.

Ironbark Estate has 113 residential lots across 10 acres of lush countryside and is only a 2 min drive the waters edge.