The work focuses on five epithermal Au-Ag deposits of the Kamchatka volcanogenic belts: Rodnikovoe, Baranyevskoe, Kumroch, Lazurnoe (adularia-sericite type–Ad-Ser) and Maletoyvayam (acid-sulfate type–Ac-Sul). The geochemical characteristics of the deposits were presented based on the results of ICP-OES and fire-assay analysis. The compositions and physicochemical parameters of ore-forming fluids were based on microthermometry, Raman spectroscopy and gas chromatography-mass spectrometry. It was shown that all deposits were comparable in terms of temperatures, salinity and the predominance of H2O and CO2 in ore-forming fluids. The deposits were formed at temperatures of 160–308 °C by aqueous fluids with salinities of 0.5–6.8 wt. % (NaCl-eq.). The Maletoyvayam deposit differed from the other ones in significant enrichment in Se, Te, Sb, Bi and As, as well as much higher concentrations of hydrocarbons, nitrogenated and sulfonated compounds (31.4 rel.% in total) in the composition of fluid inclusions. This gave us a reason to assume that organic compounds favourably affected the concentrations of these elements in the mineralising fluid. Kumroch and Lazurnoe were distinguished from Rodnikovoe and Baranyevskoe by high Zn, Pb and Cu contents, where each of them represented a single system combining both Ad-Ser type epithermal gold-silver and copper porphyry mineralisations. The presence of alkanes, esters, ketones, carboxylic acids and aldehydes in different quantities at all deposits were indicators of the combination of biogenic and thermogenic origins of organic compounds. The contents of ore-forming elements in ores were consistent with the specificity of mineral assemblages in the Kamchatka deposits.