The B5074 is a largely rural B-road in central Cheshire.
It starts on the A54 at Salterswall, to the northwest of Winsford and begins by heading southeast on the original line of the A54 through Over. The A-road is crossed at a roundabout at the other end of the bypass, marking the original northern end of the B5074.
The road continues south and eventually leaves the Winsford urban area. After a couple of miles it reaches Church Minshull in the valley of the River Weaver; the road detours to the west to avoid having to cross the river. A mile or so later it crosses the Shropshire Union Canal at a narrow arched bridge, then the Crewe to Chester railway line shortly afterwards, on the edge of the scattered village of Aston juxta Mondrum.
Continuing south, the B5074 soon reaches the A51 Nantwich bypass at a roundabout. It originally ended here (when the road to the right and straight ahead was numbered B5073 and the road to the left did not exist). However, when the A51 was taken out of town completely in the 2000s the B5074 was extended into - and through - Nantwich along that road's second route through town (rerouted over part of the A530 and all of the B5073 in the 1970s).
Our road continues south, passing to the east of Nantwich town centre, meeting two B-roads en route. It then reaches a roundabout opposite the half-timbered Churche's Mansion where it turns left away from the town centre. After going over a level crossing it bears left, onto the original route of the A52, before ending a short distance further on at a set of traffic lights, back on the current route of the A51.