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Rousse is located on the right bank of the Danube, which is the high bank, having two underwater terraces and three land terraces at 15–22 m, 30–66 m, and 54–65 m. The average altitude is 45.5 m AMSL. The urban area is an approximately 11-km ellipse running along the river. The city extends from the land-connected Matey island and the mouth of Rusenski Lom on the west to Srabcheto hill on the east. During the 20th century, the west end of the city was significantly modified by moving the mouth of Rusenski Lom to the west, as well as by moving the bank itself with its fairway considerably to the north. Sarabair hill is to the south of the city and is 159 m high. The Rousse TV Tower is built there on the remains of Leventtabia, a former Turkish fortification.The city emerged as a Thracian settlement from the 3rd to 2nd millennium BCE, when pottery, fishing, agriculture, and hunting developed. Excavations reveal several layers, suggesting that the place was attacked by neighbouring tribes and suffered some natural disasters. Ancient sanctuaries were found nearby, where idols of a pregnant woman, a fertility goddess, were prevalent. The Thracian settlement later developed into a Roman military and naval centre during the reign of Vespasian (69-70 CE) as part of the fortification system along the northern boundary of Moesia. Its name, Sexaginta Prista, suggests a meaning of "a city of 60 ships" (from Latin: sexaginta — "60" and Greek: pristis — a special type of guard ship), based on the supposed 60 nearby berths. The fortress was located on the main road between Singidunum (modern Belgrade) and the Danube Delta and was destroyed in the sixth century by Avar and Slavic raids. Hungarian historian Felix Philipp Kanitz was the first to identify Sexaginta Prista with Rousse, but the Škorpil brothers demonstrated the link later through studying inscriptions, coins, graves, and objects of daily life. An inscription from the reign of Diocletian proves that the city was rebuilt as a praesidium (a large fortification) after it was destroyed by the Goths in 250 CE.In the 13th and 14th centuries, during the time of the Second Bulgarian Empire, a fortified settlement called Rusi (also Golyamo Yorgovo; Bulgarian: , first mentioned in 1380, emerged near the ruins of the Roman town. It later strengthened its position as an important trade centre with the lands on the opposite side of the Danube, until it was conquered by the Ottomans in 1388. Scholars suggest that the city on the river bank derived its present name from the Cherven fortress through the root rous, which is present in many Slavic languages and is a cognate of French rouge and Latin rusos.
During Ottoman rule, the invaders destroyed the town, reacting to a 1595 unsuccessful liberation attempt by a joint Vlach-Bulgarian army, led by Michael the Brave. After its rebuilding in the following years, Rousse was dubbed Rusçuk (Turkish for "little Rousse") and had again expanded into a large fortress by the 18th century. It later grew into one of the most important Ottoman towns on the Danube and an administrative centre of Tuna Vilayet, which extended from Varna and Tulcea to Sofia and Niš.The “Dunav” newspaper appeared – it was the first printed in Bulgaria and ... in Bulgarian. Some Bulgarian schools were founded. The streets are renamed and numbered for the first time in Bulgarian lands. A post-office, hospital, home for the aged were founded. Three empires met here for trading: Austro-Hungary, Russia, British Empire, France and Italy opened consulates in Ruschuk. Imperceptibly, the modern city arose from the shades of the settlement. In 1865 the Obraztsov Chiflik was founded on the place where the English Consul’s farm was and it was the first modern farm on the territory of the whole Ottoman Empire of that time.
Rousse developed into a centre of the Bulgarian National Revival and hosted the headquarters of the Bulgarian Revolutionary Central Committee.Between World War I and II, after Southern Dobruja was lost to Romania, the economic significance of the city decreased. So did the population, and Rousse was no longer the second-largest city in Bulgarian lands (after former East Rumelian capital Plovdiv), being quickly surpassed by Sofia and Varna. Many big companies left, and all foreign consulates were closed, except for the Russian one, which has remained functional since.
The return of Southern Dobruja to Bulgaria in September 1940 fostered good conditions for restoration of the city's leading role. It became a provincial centre, and economic activity revived. The construction of the Rousse-Giurgiu bridge in 1954 and the fast industrialization gave a new push to development. Rousse emerged again as an important economic, transport, cultural, and educational hub. Engineering, chemical, and light industries expanded; a large harbor was built; and the city became a university centre. At the 1985 census, a population of more than 186,000 was reported.In the early 1980s, Rousse entered a dark period of its history. The Verachim factory was built in Giurgiu, which polluted the air between 1980 and 1987, impacting the city's development. Population decreased, and 15,000 people moved out between 1985 and 1992. Fortunately, in 1987, the Romanian factory ceased the pollution, under pressure from environmental organizations on both Bulgarian and Romanian communist leadership. Organizations, such as Ekoglasnost, provoked nationwide demonstrations and strongly influenced the change to democracy.
During the 1990s, the economic crisis in Bulgaria affected Rousse. Most big companies suffered a decline and unemployment increased, which led to renewed emigration waves. Since 2000, the city has been continually regaining its former leading status.
Today, Rousse is a large Bulgarian city, with a population over 170,000, and is one of the basic cultural and economic centres of northern Bulgaria. The country's accession to the European Union is expected to bring local benefit through new investments and opportunities for international business.