International Tower Hill Receives Share Ownership Top-Up Notice From AngloGold Ashanti

VANCOUVER, BRITISH COLUMBIA, Jul 10 (MARKET WIRE) --
International Tower Hill Mines Ltd. ("ITH" or the "Company") (TSX
VENTURE: ITH)(NYSE Amex: THM)(FRANKFURT: IW9) is pleased to announce that
AngloGold Ashanti (U.S.A.) Exploration Inc., a subsidiary of AngloGold
Ashanti Limited ("AngloGold"), has exercised its right to maintain its
13.2907% equity interest in the Company. AngloGold's equity interest had
been diluted by virtue of the Company's issuance of shares since January
1, 2009, principally due to the exercise of 7,753,385 warrants, broker
options and broker warrants in May.

As a consequence of AngloGold's election to exercise its "top-up" right,
the Company will sell to AngloGold, on a private placement basis, an
aggregate of 1,218,283 common shares at a price of CAD$2.68 per share
(reflecting the closing price of the Company's common shares on the TSXV
on July 9, 2009 of CAD$3.15 less the maximum discount (15%), as required
by the provisions of the "top-up" right) for gross proceeds of
CAD$3,264,998. The private placement is subject to execution of formal
documentation and the acceptance for listing of the common shares to be
issued by the TSXV and NYSE Amex. The common shares issued in the private
placement will be subject to a hold period in Canada expiring 4 months
plus one day after closing. The net proceeds from the private placement
are anticipated to be used by the Company for continued work on the
Livengood Gold project in Alaska, further work on its Alaska and Nevada
mineral properties and general working capital.

The "top-up" provision, contained in the June 30, 2006 purchase agreement
among AngloGold, the Company and Talon Gold Alaska, Inc. pursuant to
which the Company acquired AngloGold's Alaskan assets (including the
Company's flagship Livengood property), gives AngloGold the right, twice
a year, to maintain its then current equity ownership percentage in the
Company on an ongoing basis thereby avoiding dilution as a result of the
issuance of shares by the Company in connection with property payments or
warrant or option exercises. AngloGold also has a separate right to
participate in any equity financings by the Company up to its then
pre-financing percentage equity interest.

The common shares have not been and will not be registered under the U.S.
Securities Act of 1933, as amended, (the "1933 Act"), or any state
securities laws, may not be offered or sold in the United States absent
registration under the 1933 Act and any applicable state securities laws
or pursuant to an exemption therefrom and are being issued to AngloGold
pursuant to exemptions from such registration requirements.

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
completion of the private placement to AngloGold Ashanti (U.S.A.)
Exploration Inc. and the proposed use of the proceeds of the financing by
the Company, are forward-looking statements. 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, risks
associated with the timing and pricing of the private placement. Other
risks and uncertainties are disclosed in the Company's annual report on
Form 20-F filed with the United States Securities and Exchange
Commission, 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.

NR09-18

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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