VT 118 heads northwest through the village of Berkshire Center, where the highway meets Water Tower Road and Richford Road. The highway crosses the Pike River and passes the historic West Berkshire School before reaching its northern terminus at VT 108 (West Berkshire Road). The town of Berkshire maintains the portion of VT 118 north of VT 105; the Vermont Agency of Transportation maintains the Eden–East Berkshire portion of the highway.