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Karnmelkspruit

The Karnmelkspruit is a tributary of the Kraai River in the Senqu area in the northeastern part of the Eastern Cape. It rises to the south of Wittenberg near Lesotho and flows as a stream southwestward through valleys and gorges east of the town of Lady Grey and further south to where it joins the Kraai River at .

The river is crossed by a historical railway line (at ), and the Jan Kemp Vorster Bridge (1973) carries car traffic over the river in the direction of Barkly East, about 50 km away.