The Mt. Charlston race is probably the fastest Marathon in the US. After the start at 7600ft it drops 5000ft at a 4% slope. The race takes place the first Saturday in April and is a Boston Qualifier. See the Revel Marathon website for details.
If you want to participate then make sure you train downhill runs (e.g. on a treadmill with negative incline). Participants are normally bussed up to the starting line and loading starts in Sumerlin around 3:30am. If you are lucky, then rent a cabin (Mt. Charlston lodge & cabins) directly at the starting line and step out of the warm room into the freezing air just 10min before the race starts at 6am.
One of the best moments is when the sun rises over the desert directly in front of you...

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Distance 42.3 km

Uphill 40 m

Downhill 1,590 m

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Tuesday 21 October

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Max wind speed: 6.0 km/h

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Location: Mount Charleston, Spring Mountains National Recreation Area, Clark County, Nevada, United States

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REVEL Mt. Charleston Marathon Course

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