Ellsworth Lake Access provides boat ramp facilities for launching onto Lake Ellsworth's 5,600 acres in Comanche County.

Multiple access points around the lake offer varying conditions—some ramps like Collier Landing and Ralph's Resort have protected docks suitable for most conditions, while exposed ramps at Fisherman's Cove and Edgewater can be challenging on windy days.

Bank fishing access is also available via roads and trails around the lake, though many trails need maintenance.