Issoire is located on the Couze River, near its junction with the Allier, 40 km (25 mi) SSE of Clermont-Ferrand on the Paris-Lyon-Méditerranée railway to Nîmes. Issoire is situated in one of the fertile plains of the Petites Limagnes-basins that follow the Allier River from its source in the Massif Central to the Grande Limagne north of Clermont-Ferrand and on to the Loire.

The church of Saint-Austremoine is built on the site of an older chapel raised over the tomb of St. Austremoine (Stremonius) affords an excellent specimen of the Romanesque architecture of Auvergne. There is also a clock tower and the museum of the philosopher's stone.

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