The roadway continues south as Black Walnut Point Road, a county highway that leads to the namesake point at the south end of the island. MD 33 heads north through the village of Tilghman Island as two-lane undivided Tilghman Island Road, passing Tilghman Elementary School and many businesses before leaving the island by crossing Knapps Narrows on a single-bascule drawbridge that is the busiest of its type in the United States in terms of bridge openings.
The roadway continues south to become Black Walnut Point Road, a county highway leading to the namesake point at the southern end of the island. MD 33 proceeds north through Tilghman Island village, passing Tilghman Elementary School and numerous businesses before crossing Knapps Narrows on a single-bascule drawbridge that is the busiest of its kind in terms of bridge openings.