Otter Creek Boat Ramp offers two launch options on Lake McConaughy: a flume ramp (end elevation 3,258. 0 ft) and a bay ramp (end elevation 3,241. 5 ft), with the bay ramp typically more accessible at lower water levels.

The location includes a fish cleaning station and marina services, making it a convenient access point for boaters and anglers on Nebraska's largest reservoir.

Otter Creek is one of several developed recreation areas along the north shore of Lake McConaughy, managed by the Nebraska Game and Parks Commission.