Follows U.S. Highway 14 through Ranchester and Dayton north of Sheridan, includes spectacular views of Fallen City (a field of Madison Formation limestone blocks), Steamboat Point, along with campgrounds, picnic areas and opportunities for fishing in Sibley Lake, Prune Creek and Little Tongue River.

At Burgess Junction, the Medicine Wheel Passage continues on U.S. 14A toward the town of Lovell. This byway is open seasonally from May through November and has a 10% grade in places, making it steeper than the Bighorn Scenic Byway. Watch for moose and deer around Burgess Junction and Rocky Mountain bluebirds and mourning doves. This byway provides stunning views of the Bighorn Basin below as well as a few notable stops. Stretch your legs at Observation Point (Elevation 9,430 ft) or take a small hike to see the Medicine Wheel/Medicine Mountain National Historic Landmark or Porcupine Falls. Before reaching the town of Lovell, take a small detour to the Bighorn National Recreation Area.