The Recsk ore complex is an example of a largely uneroded porphyry-skarn-epithermal metallogenic system in a subduction-related magmatic hydrothermal environment within the Alpine-Carpathian region. Paleogene diorite intrusions and Mesozoic carbonate and silicic shale host rocks contain Cu(-Mo-Au)-porphyry, Cu-Zn(-Fe) skarn, and metasomatic Pb-Zn (carbonate replacement) mineralization from ~400- to at least 1,200-m depth below the surface. The Mesozoic sedimentary rocks are unconformably overlain by a stratovolcanic sequence of andesitic to dacitic composition that hosts epithermal Cu-Au-Ag and Au-Ag-Pb-Zn mineralization. This study focuses on the shallow high-sulfidation epithermal Cu-Au-Ag mineralization exposed and exploited on Lahóca Hill. The ore mineralogy combined with the microthermometry of quartz- and enargite-hosted fluid inclusions suggest three stages of the ore formation: (1) early-stage ore deposition in the porphyry-epithermal transition zone (pyrite, chalcopyrite, tennantite-tetrahedrite, galena, sphalerite; 260°–230°C; logfs2~–11 to –9; logfTe2~ –19 to –14); (2) high- and very high sulfidation state mineralization from tellurium-saturated fluids (e.g., enargite, luzonite, pyrite, native gold, calaverite, hessite, aikinite-bismuthinite; 240°–170°C; logfS2~–7 to –11; logfTe2~–14.8 to –10.5); and (3) late-stage mineralization from tellurium-oversaturated, locally oxidized fluids of an intermediate-sulfidation state (e.g., tennantite-goldfieldite, pyrite, hessite, petzite, native tellurium, kawa-zulite; logfs2~–11 to –15.5; logfTe2 ≥ –10.5). The observed differences in ore mineral assemblages and trace element compositions of sulfides reflect the temporal and spatial evolution of the ore-forming hydrothermal system. Results of fluid inclusion microthermometry performed by conventional and infrared-light microscopy and Raman spectroscopic studies support a model with lateral flow of shallow hydrothermal fluids. The spatial distribution of paleotemperature data within the high-sulfidation portion of the ore deposit suggests that the fluid flow system is offset from the closest apex of the related mineralized porphyry stock. This could be due to structural complexity related to syn- to postmineralization tectonism and/or due to the presence of an undiscovered intrusion to the north of the known mineralized stock.