 Laurel Hill Creek flows through Middlecreek Township, with tributaries such as Allen Creek, Garys Run, Blue Hole Creek, Cole Run, Showman Run, Fall Creek, and Lost Creek joining its stream before it enters Upper Turkeyfoot Township.Forbes State Forest and Laurel Hill State Park are located in Middlecreek Township.Camp T. Frank Soles of the YMCA of Greater Pittsburgh is also located in the township, at Lake Tris.