In this work, large-scale simulations of the blast furnace hearth are presented, conducted using a model combining Computational Fluid Dynamics, the Volume of Fluid method, and the Discrete Element Method. Using a 5 m diameter, full-3D geometry, the influence of burden weight, bi-disperse packing, and blocked tuyeres on the liquid and solids flow within the hearth are investigated. Horizontal and vertical porosity profiles are presented, and the influence of the dynamic liquid level on the state of the deadman is evaluated. The liquid iron flow during tapping is visualised, and the influence of a coke-free space on the flow pattern is analysed. The magnitude of the circumferential flow through the corner of the hearth is analysed, and found to decrease with increasing burden weight pressure and coke diameter in the bed centre. A significant influence of the dynamic deadman on the liquid flow pattern is found, especially in case of a floating deadman. In addition to the liquid flow, the solid coke flow towards the raceways is analysed. Two pathways for coke particles towards the raceway are uncovered, one path through the actively flowing layer above the deadman, and a second path moving through the deadman and entering the raceways from below. The balance between these two mechanisms was found to change during the tapping cycle. Lastly, implementations for heat and dissolved carbon mass transfer are presented, and demonstrated using a full-scale 10 m hearth simulation. Additional closures for heat and mass transfer rates are required, but the current model is found in good shape for future work.