The Middle Fork American River is one of three forks that form the American River in Northern California. It drains a large watershed in the high Sierra Nevada west of Lake Tahoe and northeast of Sacramento in Placer and El Dorado Counties, between the watersheds of the North Fork American River and South Fork American River. The Middle Fork joins with the North Fork near Auburn and they continue downstream to Folsom Lake as the North Fork, even though the Middle Fork carries a larger volume of water.