International Tower Hill Continues to Expand Livengood Gold Project, Alaska

VANCOUVER, BRITISH COLUMBIA, Nov 12 (MARKET WIRE) --
International Tower Hill Mines Ltd. ("ITH" or the "Company") - (TSX
VENTURE: ITH)(NYSE Amex: THM)(FRANKFURT: IW9) is pleased to announce
assay results for 17 new drill holes in proximity to the Money Knob gold
deposit at Livengood project, Alaska. The new results continue to expand
the eastern half of the deposit, which includes the Sunshine, Northeast,
Money Knob and Southwest Zones. In addition, significant new
mineralization was discovered in the Northwest Zone (MK-RC-0279 - 15
metres @ 3.7 g/t gold and MK-RC-0281 - 23 metres @ 0.9 g/t gold)
extending the deposit 500 metres to the west. This will be a new
prospective area for resource expansion in 2010 (Figure 1).

To view Figure 1 please click on the following link:
http://media3.marketwire.com/docs/ith1112f1.pdf.

New Results

Northeast Zone Results

Four new holes in the Northeast Zone returned cumulative grade
thicknesses of greater than 80 metres exceeding 1 gram gold per tonne
(Table 1). Both holes MK-RC-0272 and MK-RC-0275 have returned greater
than 1 g/t gold starting near surface, thereby potentially expanding the
starter pit area of the deposit (Table 1).

Sunshine Zone Results

Three new holes from the Sunshine Zone returned cumulative thicknesses of
greater than 90 metres exceeding 1 gram gold (Table 2). Hole MK-RC-0269
(165 cumulative metres with greater than 1 gram gold) extends the
Sunshine zone to the southwest of any previously reported results.
MK-09-42 (91 cumulative metres of greater than 1 gram gold) and MK-RC-270
(136 cumulative metres of greater than 1 gram gold) fill a gap in the
center of the zone, which should upgrade the overall Sunshine Zone
resource.

Southwest Zone Results

Two new holes from the Southwest Zone continue to delineate more
mineralization in this emerging higher grade area of the deposit (Table
3). The intercept of 44 metres @ 1.5 g/t gold in hole MK-RC-0278 confirms
and expands the higher grade zones intersected in the winter drilling
program from earlier this year (Winter 2009 program). This area is
scheduled to be the focus of the next phase of drilling to commence early
February 2010 with 4 drill rigs.

Northwest Zone Expansion

In 1997 Placer Dome Inc. drilled one shallow hole (TL-14, 120 metres
deep) approximately 600 metres west of the currently defined Money Knob
deposit (Figure 1) that historically was reported to contain gold
mineralization. Three follow up holes were drilled by ITH during the
Summer 2009 drill program to determine the extent of the TL-14
mineralization. These holes confirmed the presence of a significant new
zone of higher grade gold mineralization highlighted by hole MK-RC-0279
(15 metres @ 3.7 g/t gold & 7.6 metres @ 1.7 g/t gold), opening up a new
area for resource expansion in 2010.

Other Results

Infill drilling in the Money Knob area continues to return positive
results, including MK-RC-0280 with 29 metres @ 3.5 g/t gold (Table 5).
Step out drilling in the southern part of the Far East Zone failed to
identify significant mineralization.

Table 1: Significant New Intercepts(i) from the Northeast Zone
(i) Intercepts are calculated using a 0.25g/t cutoff and a maximum of 3
metres of internal waste. Cumulative gram metres is sum of the grade
thickness products for all intercepts including many which are not
reported here.

From To Length Gold Cumulative
Hole ID (metres) (metres) (metres) (g/t) Grade Thickness
--------------------------------------------------------------------------
MK-RC-0272 77.72 80.77 3.05 4.00 112
146.30 150.88 4.58 2.37
188.98 195.07 6.09 1.93
286.51 301.75 15.24 0.52
304.80 321.56 16.76 0.69
338.33 352.04 13.71 0.68
MK-RC-0273 32.00 47.24 15.24 1.58 89
includes 39.62 47.24 7.62 2.70
76.20 80.77 4.57 1.28
114.30 131.06 16.76 0.56
230.12 243.84 13.72 0.50
306.32 335.28 28.96 0.58
MK-RC-0274 166.12 170.69 4.57 1.16 84
MK-RC-0275 6.10 10.67 4.57 1.27 108
32.00 39.62 7.62 1.12
59.44 64.01 4.57 1.10
68.58 80.77 12.19 0.58
86.87 118.87 32.00 0.52
123.44 131.06 7.62 1.29
173.74 176.78 3.04 2.31
230.12 256.03 25.91 0.52
272.80 289.56 16.76 0.63
includes 284.99 289.56 4.57 1.35

Table 2: Significant New Intercepts(i) from the Sunshine Zone
(i) Intercepts are calculated using a 0.25g/t cutoff and a maximum of 3
metres of internal waste. Cumulative gram metres is sum of the grade
thickness products for all intercepts including many which are not
reported here.

From To Length Gold Cumulative
Hole ID (metres) (metres) (metres) (g/t) Grade Thickness
--------------------------------------------------------------------------
MK-09-42 79.65 95.94 16.29 0.57 91
98.45 108.20 9.75 0.59
261.52 301.14 39.62 0.62
includes 273.71 277.70 3.99 1.66
307.11 330.10 22.99 0.58
MK-RC-0269 105.16 123.44 18.28 0.51 165
126.49 134.11 7.62 0.67
204.22 210.31 6.09 0.94
214.88 262.13 47.25 0.67
268.22 298.70 30.48 1.12
includes 272.80 278.89 6.09 1.82
includes 291.08 294.13 3.05 3.10
318.52 326.14 7.62 3.15
330.71 355.09 24.38 0.77
includes 349.00 352.04 3.04 1.74
MK-RC-0270 18.29 152.40 134.11 0.97 136
includes 60.96 73.15 12.19 1.60
includes 80.77 85.34 4.57 2.55
includes 126.49 141.73 15.24 2.03

Table 3: Significant New Intercepts(i) from the Southwest Zone
(i) Intercepts are calculated using a 0.25g/t cutoff and a maximum of 3
metres of internal waste. Cumulative gram metres is sum of the grade
thickness products for all intercepts including many which are not
reported here.

From To Length Gold Cumulative
Hole ID (metres) (metres) (metres) (g/t) Grade Thickness(i)
-------------------------------------------------------------------------
MK-RC-0276 77.72 99.06 21.34 0.59 61
111.25 120.40 9.15 0.67
135.64 152.40 16.76 0.61
219.46 262.13 42.67 0.58
includes 251.46 259.08 7.62 1.00
MK-RC-0278 94.49 97.54 3.05 2.82 101
137.16 152.40 15.24 0.66
170.69 214.88 44.19 1.50
includes 173.74 176.78 3.04 5.37
includes 181.36 185.93 4.57 4.45
includes 190.50 202.69 12.19 1.57
228.60 243.84 15.24 0.58

Table 4: Significant New Intercepts(i) from the Northwest Zone
(i) Intercepts are calculated using a 0.25g/t cutoff and a maximum of 3
metres of internal waste. Cumulative gram metres is sum of the grade
thickness products for all intercepts including many which are not
reported here.

From To Length Gold Cumulative
Hole ID (metres) (metres) (metres) (g/t) Grade Thickness
--------------------------------------------------------------------------
MK-RC-0279 70.10 85.34 15.24 3.70 114
92.96 97.54 4.58 1.12
103.63 111.25 7.62 1.67
240.79 248.41 7.62 0.83
MK-RC-0281 144.78 158.50 13.72 0.53 38
163.07 185.93 22.86 0.86
MK-RC-0283 126.49 138.68 12.19 0.54 14

Table 5: Significant New Intercepts(i) from Other Areas
(i) Intercepts are calculated using a 0.25g/t cutoff and a maximum of 3
metres of internal waste. Cumulative gram metres is sum of the grade
thickness products for all intercepts including many which are not
reported here.

Cumulative
From To Length Gold Grade
Hole ID (metres) (metres) (metres) (g/t) Thickness Zone
--------------------------------------------------------------------
MK-RC-0280 137.16 147.83 10.67 1.45 147 Money Knob
173.74 202.69 28.95 3.51
207.26 217.93 10.67 1.40
MK-RC-0286 179.83 198.12 18.29 0.66 29
213.36 222.50 9.14 0.60
--------------------------------------------------------------------
MK-09-38 Hole lost before hitting target Core
Zone--------------------------------------------------------------------
MK-RC-0277 No significant intercepts Far East
MK-RC-0282 No significant intercepts
--------------------------------------------------------------------

Livengood Project Highlights

- Ongoing drilling at the project continues to expand the deposit at a
rapid rate, with the current estimated resource only representing a
snapshot in time of what the Company believes is a growing resource base.
The latest resource estimate (October 2009) of 296.8 Mt indicated at an
average grade of 0.85 g/t gold (8.09 Moz) and 64.2 Mt inferred at an
average grade of 0.84 g/t gold (4.4 Moz), both at a 0.5g/t gold cutoff,
makes it one of the largest new gold discoveries in North America.

- The Core and Sunshine Zones together account for most of the higher
grade mineralization (indicated resources of 157.9 Mt at an average grade
of 1.07 g/t gold and inferred resources of 78.0 Mt at an average grade of
1.11 g/t gold, based on a cut off grade of 0.70 g/t gold) and will form
the base for a starter pit.

- Ongoing metallurgical studies focusing on the mill potential indicate
that the mineralization has an unusually high gravity concentration
component with an average of 77% of the gold reporting to just 15% of the
material. This could offer a significant cost savings opportunity for
both capital and operating costs.

- The geometry of the currently defined shallowly dipping, outcropping
deposit has a low strip ratio amenable to low cost open pit mining which
could support a high production rate and economies of scale.

- No major permitting hurdles have been identified to date.

The Company wishes to emphasize that the Livengood project has a very
favourable logistical location, being situated 110 road kilometres north
of Fairbanks, Alaska along the paved, all weather Elliott Highway, the
Trans Alaska Pipeline Corridor, and the proposed Alaska natural gas
pipeline route. The terminus of the Alaska State power grid lies
approximately 55 kilometres to the south.

Project Background

ITH controls 100% of its 44 square kilometre Livengood land package,
which is primarily made up of fee land leased from the Alaska Mental
Health Trust and a number of smaller private mineral leases. The Company
and its predecessor, AngloGold Ashanti (U.S.A.) Exploration Inc., have
been exploring the Livengood area since 2003, with the project's first
indicated resource estimate being announced in early 2008. The 2009
drilling program is part of a series of drill initiatives which mark the
first grid drilling resource definition campaign for the project and is
only the initial step in what the Company envisions as a major long-term
exploration program to define one of the world's larger new gold deposits.

Geological Overview

The Livengood Deposit is hosted in a thrust-interleaved sequence of
Proterozoic to Palaeozoic sedimentary and volcanic rocks. Mineralization
is related to a 90 million year old (Fort Knox age) dike swarm that cuts
through the thrust stack. Primary ore controls are a combination of
favourable lithologies and crosscutting structural zones. In areas distal
to the main structural zones the selective development of disseminated
mineralization in favourable host rocks is the main ore control. Within
the primary structural corridors all lithologies can be pervasively
altered and mineralized. Devonian volcanic rocks and Cretaceous dikes
represent the most favourable host lithologies and are pervasively
altered and mineralized throughout the deposit. Two dominant structural
controls are present: 1) the major shallow south-dipping faults which
host dikes and mineralization which are related to dilatent movement on
structures of the original fold-thrust architecture during post-thrusting
relaxation, and 2) steep NNW trending linear zones which focus the
higher-grade mineralization which cuts across all lithologic boundaries.
The net result is broad flat-lying zones of stratabound mineralization
around more vertically continuous, higher grade core zones with a
resulting lower strip ratio for the overall deposit and higher grade
areas that could be amenable for starter pit production.

The surface gold geochemical anomaly at Livengood covers an area 6
kilometres long by 2 kilometres wide, of which approximately half has
been explored by drilling to date. Surface exploration is ongoing as new
targets are developed to the northeast of the known mineralization.

Qualified Person and Quality Control/Quality Assurance

Jeffrey A. Pontius (CPG 11044), a qualified person as defined by National
Instrument 43-101, has supervised the preparation of the scientific and
technical information that forms the basis for this news release and has
approved the disclosure herein. Mr. Pontius is not independent of ITH, as
he is the President and CEO and holds common shares and incentive stock
options.

The work program at Livengood was designed and is supervised by Dr.
Russell Myers, Vice President, Exploration, and Chris Puchner, Chief
Geologist (CPG 07048), of the Company, who are responsible for all
aspects of the work, including the quality control/quality assurance
program. On-site personnel at the project photograph the core from each
individual borehole prior to preparing the split core. Duplicate reverse
circulation drill samples are collected with one split sent for analysis.
Representative chips are retained for geological logging. On-site
personnel at the project log and track all samples prior to sealing and
shipping. All sample shipments are sealed and shipped to ALS Chemex in
Fairbanks, Alaska for preparation and then on to ALS Chemex in Vancouver,
B.C. for assay. ALS Chemex's quality system complies with the
requirements for the International Standards ISO 9001:2000 and ISO 17025:
1999. Analytical accuracy and precision are monitored by the analysis of
reagent blanks, reference material and replicate samples. Quality control
is further assured by the use of international and in-house standards.
Finally, representative blind duplicate samples are forwarded to ALS
Chemex and an ISO compliant third party laboratory for additional quality
control.

About International Tower Hill Mines Ltd.

International Tower Hill Mines Ltd. is a resource exploration company,
focused in Alaska and Nevada, which controls a number of exploration
projects representing a spectrum of early stage to the advanced
multimillion ounce gold discovery at Livengood. ITH is committed to
building shareholder value through new discoveries while maintaining a
majority interest in its key holdings, thereby giving its shareholders
the maximum value for their investment.

On behalf of INTERNATIONAL TOWER HILL MINES LTD., Jeffrey A. Pontius,
President and Chief Executive Officer.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning
of Section 27A of the Securities Act and Section 27E of the Exchange Act.
All statements, other than statements of historical fact, included herein
including, without limitation, statements regarding the anticipated
content, commencement and cost of exploration programs, anticipated
exploration program results, the discovery and delineation of mineral
deposits/resources/reserves, the potential for the expansion of the
estimated resources at Livengood, the potential for any production at the
Livengood project, the potential for higher grade mineralization to form
the basis for a starter pit component in any production scenario, the
potential low strip ratio of the Livengood deposit being amenable for low
cost open pit mining that could support a high production rate and
economies of scale, the potential for cost savings due to the high
gravity concentration component of some of the Livengood mineralization,
business and financing plans and business trends, are forward-looking
statements.

Information concerning mineral resource estimates also may be deemed to
be forward-looking statements in that it reflects a prediction of the
mineralization that would be encountered if a mineral deposit were
developed and mined. Although the Company believes that such statements
are reasonable, it can give no assurance that such expectations will
prove to be correct. Forward-looking statements are typically identified
by words such as: believe, expect, anticipate, intend, estimate,
postulate and similar expressions, or are those, which, by their nature,
refer to future events. The Company cautions investors that any
forward-looking statements by the Company are not guarantees of future
results or performance, and that actual results may differ materially
from those in forward looking statements as a result of various factors,
including, but not limited to, variations in the nature, quality and
quantity of any mineral deposits that may be located, variations in the
market price of any mineral products the Company may produce or plan to
produce, the Company's inability to obtain any necessary permits,
consents or authorizations required for its activities, the Company's
inability to produce minerals from its properties successfully or
profitably, to continue its projected growth, to raise the necessary
capital or to be fully able to implement its business strategies, and
other risks and uncertainties disclosed in the Company's Annual
Information Form filed with certain securities commissions in Canada and
the Company's annual report on Form 20-F filed with the United States
Securities and Exchange Commission (the "SEC"), and other information
released by the Company and filed with the appropriate regulatory
agencies. All of the Company's Canadian public disclosure filings may be
accessed via www.sedar.com and its United States public disclosure
filings may be accessed via www.sec.gov, and readers are urged to review
these materials, including the technical reports filed with respect to
the Company's mineral properties. Cautionary Note Regarding References to
Resources and Reserves

National Instrument 43 101 - Standards of Disclosure for Mineral Projects
("NI 43-101") is a rule developed by the Canadian Securities
Administrators which establishes standards for all public disclosure an
issuer makes of scientific and technical information concerning mineral
projects. Unless otherwise indicated, all resource estimates contained in
or incorporated by reference in this press release have been prepared in
accordance with NI 43-101 and the guidelines set out in the Canadian
Institute of Mining, Metallurgy and Petroleum (the "CIM") Standards on
Mineral Resource and Mineral Reserves, adopted by the CIM Council on
November 14, 2004 (the "CIM Standards") as they may be amended from time
to time by the CIM.

United States shareholders are cautioned that the requirements and
terminology of NI 43-101 and the CIM Standards differ significantly from
the requirements and terminology of the SEC set forth Industry Guide 7.
Accordingly, the Company's disclosures regarding mineralization may not
be comparable to similar information disclosed by companies subject to
the SEC's Industry Guide 7. Without limiting the foregoing, while the
terms "mineral resources", "inferred mineral resources" and "indicated
mineral resources" are recognized and required by NI 43-101 and the CIM
Standards, they are not recognized by the SEC and are not permitted to be
used in documents filed with the SEC by companies subject to Industry
Guide 7. Mineral resources which are not mineral reserves do not have
demonstrated economic viability, and United States shareholders are
cautioned not to assume that all or any part of a mineral resource will
ever be converted into reserves. Further, inferred resources have a great
amount of uncertainty as to their existence and as to whether they can be
mined legally or economically. It cannot be assumed that all or any part
of the inferred resources will ever be upgraded to a higher resource
category. In addition, the NI 43-101 and CIM Standards definition of a
"reserve" differs from the definition adopted by the SEC in Industry
Guide 7. In the United States, a mineral reserve is defined as a part of
a mineral deposit which could be economically and legally extracted or
produced at the time the mineral reserve determination is made.

This press release is not, and is not to be construed in any way as, an
offer to buy or sell securities in the United States.

NR09-30

Neither TSX Venture Exchange nor its Regulation Services Provider (as
that term is defined in the policies of the TSX Venture Exchange) accepts
responsibility for the adequacy or accuracy of this press release, which
has been prepared by management.

Contacts:
International Tower Hill Mines Ltd.
Quentin Mai
Vice-President - Corporate Communications
1-888-770-7488 (toll free) or (604)683-6332
(604) 408-7499 (FAX)
qmai@internationaltowerhill.com
www.internationaltowerhill.com

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