There are road connections to Tikhvin (via Lyubytino), Okulovka, and Pestovo.
The region experienced an influx of settlers in the 13th century, when peasants were fleeing the Mongols.
Ustyuzhna is also connected by roads with Tver via Vesyegonsk, with Bezhetsk via Sandovo, and with Borovichi via Pestovo.
There, it connects to the railway running between Moscow and Mga via Krasny Kholm and Pestovo.
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