PA 241 heads northeast from Pennsylvania Route 441 on Bainbridge Road. It passes through West Donegal Township and enters Elizabethtown. It follows Bainbridge Street to a left turn onto Masonic Drive. It then turns right onto West High Street and follows it to Market Street (Pennsylvania Routes 230 and 743). PA 241 turns left on Market Street, forming a three-way concurrency with PA 230 and PA 743. PA 241 and PA 743 split from PA 230 by a right onto Linden Avenue for a short distance and then a left onto North Hanover Street. At the edge of Elizabethtown, the two routes split and PA 241 continues northeast on Mount Gretna Road.