The towns of Otavi, Tsumeb (to the north) and Grootfontein (to the northeast) are defined as an area known as the "Otavi Triangle", also known as the Otavi Mountainland. This geographical region is sometimes referred to as the "Golden Triangle", or as the "Maizetriangle or Mieliedriehoek", owing to the cultivation of maize (mielies) in the area.

Much of the town's economy relies on the two grocery stores, a mill, 2 banks, two gas stations, and many surrounding game/cattle farms, as well as a handful of other small business.