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Exhibit 99.4

CERTIFICATION

I, James J. Komadina, certify that:

1.      I have reviewed this
annual report on Form 40-F of International Tower Hill Mines Ltd.;

2.      Based on my knowledge,
this report does not contain any untrue statement of a material fact or omit to
state a material fact necessary to make the statements made, in light of the
circumstances under which such statements were made, not misleading with respect
to the period covered by this report;

3.      Based on my knowledge,
the financial statements, and other financial information included in this
report, fairly present in all material respects the financial condition, results
of operations and cash flows of the issuer as of, and for, the periods presented
in this report;

4.      The issuers other certifying
officer(s) and I are responsible for establishing and maintaining disclosure
controls and procedures (as defined in Exchange Act Rules 13a-15(e) and
15d-15(e)) and internal controls over financial reporting (as defined in
Exchange Act Rules 13a-15(f) and 15d-5(f) for the issuer and have:

(a)     
Designed such disclosure controls and procedures, or caused such disclosure
controls and procedures to be designed under our supervision, to ensure that
material information relating to the issuer, including its consolidated
subsidiaries, is made known to us by others within those entities, particularly
during the period in which this report is being prepared;

(b)     
Designed such internal control over financial reporting, or caused such internal
control over financial reporting to be designed under our supervision, to
provide reasonable assurance regarding the reliability of financial reporting
and the preparation of financial statements for external purposes in accordance
with generally accepted accounting principles;

(c)     
Evaluated the effectiveness of the issuers disclosure controls and procedures
and presented in this report our conclusions about the effectiveness of the
disclosure controls and procedures, as of the end of the period covered by this
report based on such evaluation; and

(d)      Disclosed
in this report any change in the issuers internal control over financial
reporting that occurred during the period covered by the annual report that has
materially affected, or is reasonably likely to materially affect, the issuers
internal control over financial reporting; and

5.      The issuers other
certifying officer(s) and I have disclosed, based on our most recent evaluation
of internal control over financial reporting, to the issuers auditors and the
audit committee of the issuers board of directors (or persons performing the
equivalent functions):

(a)     
All significant deficiencies and material weaknesses in the design or operation
of internal control over financial reporting which are reasonably likely to
adversely affect the issuers ability to record, process, summarize and report
financial information; and

(b)      Any
fraud, whether or not material, that involves management or other employees who
have a significant role in the issuers internal control over financial
reporting.

|Date: August 26, 2011 | By: | /s/
      James J. Komadina                 
|--------------------- | --- | --------------------------------------------
|                      |     |                                             
|                      |     | Name: James J. Komadina                     
|                      |     | Title: President and Chief Executive Officer

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