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The Ohio River ends at the confluence with the Mississippi River at Cairo, Illinois. This confluence borders Kentucky, Illinois and Missouri. Even though the Ohio River is much wider and carries more water than the Mississippi where they meet, the Ohio is considered the tributary to the Mississippi.
The river is formed by the confluence of the Allegheny and Monongahela rivers at Point State Park (called the Point) in Pittsburgh, Pennsylvania. It joins the Mississippi River at Cairo, Illinois. The native Americans considered the Monongahela to be the same as the Ohio and the Allegheny as a branch.