East Fork State Park Primitive Camp Area offers backcountry camping at five designated sites along the 16-mile Backpack Trail and 33-mile Steven Newman Worldwalker Perimeter Trail, each featuring fire rings and adirondack shelters at select locations.

Permits are required and available through the park office; sites accommodate one night for transient hikers and have no road access, requiring hikers to carry gear to the campsites.

The park provides excellent access to paddling and fishing on the 2,160-acre William H. Harsha Lake via multiple boat ramps and a 1,200-foot beach area within the main campground.