Spruce Knob Lake Campground offers 40 campsites (28 standard drive-in, 2 double, and 10 walk-in) nestled in a hardwood forest less than a mile from the 25-acre lake, with amenities including vault toilets, solar-powered drinking water, fire rings, and picnic tables.

The lake features a small boat ramp, barrier-free wooden fishing pier, and parking area, though swimming is prohibited and electric motors only are allowed.

The remote, high-elevation location (near 4,863-foot Spruce Knob) provides access to 60 miles of hiking trails and excellent stargazing, but requires navigating narrow, unpaved forest roads and offers no cell service or electric hookups.