Twin Buttes Reservoir has five public boat ramps providing access to the reservoir, though availability varies with water levels—some ramps are usable only when the lake is full, while others serve during low water periods.

A Limited Public Use permit ($12/year) is required for all visitors 17 and older to access the recreation area. Boat ramps are operated by San Angelo Parks & Recreation, and primitive camping is available at shore areas adjacent to designated roads.