The Otavi Mountain Land is a base metal sulphide ore province in northern Namibia where deposits are hosted by platform carbonates of the Otavi Group in a foreland fold-and-thrust belt on the northern edge of the Pan-African Damara Belt. Deposits have been classified as the Berg Aukas- or Tsumeb-types, based on differences in ore association, stratigraphic position and geochemistry of ores and gangue carbonates. Mineralisation at these deposits is accompanied by carbonate alteration in the form of dolomite and calcite veins, carbonate recrystallisation, calcitisation and carbonate silicification. Based on cathodoluminescence imaging, trace and rare earth element (REE), O and C isotope, and fluid inclusion data, a series of carbonate generations, constituting wall rock alteration around the Tsumeb and Kombat (Tsumeb-type) and Berg Aukas (Berg Aukas-type) deposits, was established. Similar data obtained on the recently discovered Khusib Springs deposit indicate a strong affinity to Tsumeb-type deposits. Tsumeb-type deposits are distinguished from Berg Aukas-type deposits by having trace element and REE concentrations that are significantly higher in the alteration products compared to the carbonate host rocks. Only around Tsumeb-type deposits a relative enrichment in light REE is noted for the hydrothermal carbonate generations that are cogenetic with the main stage of mineralisation. Microthermometric results from fluid inclusions in carbonate alteration phases and associated quartz indicate relatively high salinity (17–23 wt% NaCl equivalent) for the main mineralising and subsequent sulphide remobilisation stages at the deposits investigated. Estimated mineralisation temperatures are significantly higher for Tsumeb-type deposits (370–405 °C) with early sulphide remobilisation in Tsumeb at 275 °C, whereas they are lower at Berg Aukas (up to 255 °C). Fluid inclusion leachate analysis suggests that most of the observed salinity can be ascribed to dissolved, predominantly Ca- and Mg-carbonates and chlorides with subordinate NaCl. Na-Cl-Br leachate systematics indicate a derivation of the fluid salinity from the interaction with evaporitic rocks en route. Tsumeb-type mineralisation is interpreted to be derived from fluids expelled during Pan-African orogeny in the more intensely deformed internal zones of the Damara Belt further south. When the high salinity fluids reached the carbonate platform after having scavenged high concentrations of base metals, base metal sulphide precipitation occurred in zones of high porosity, provided by karst features in the carbonate sequence. Results obtained for the Berg Aukas-type deposits emphasise their derivation from basinal brines, similar to Mississippi Valley-type deposits, and confirm that mineralisation of the Berg Aukas- and Tsumeb-types are both spatially and temporally distinct.