Epsom is a rural crossroads town in Merrimack County northeast of Concord, where Route 4 and Route 28 intersect. The town's modest commercial strip serves both local residents and travelers passing through toward the Lakes Region.

Epsom's rural hills and forested land keep much of the town's character agricultural, while its location provides a convenient stop for shoppers and commuters heading between Concord and points north. The town has no traditional downtown beyond its highway commercial strip.

Housing in Epsom remains relatively affordable, drawing families and commuters who want easy access to Concord without paying that city's premium. The town's crossroads location keeps traffic higher than in more secluded rural communities.