The Annapolis River in Nova Scotia flows through Annapolis County, offering a paddling route classified as intermediate in difficulty. The primary documented route runs from Kingston to Annapolis Royal, a distance that requires overnight stops to complete in full, though numerous day trip options are available along the way. No portaging is required along this route.

The character of the river changes significantly along its length. Between Kingston and Bridgetown, the river is relatively narrow and sheltered from wind, making it a more manageable paddle. West of Bridgetown toward Annapolis Royal, the river widens considerably and becomes more exposed to strong winds. This lower section is better suited to kayaking, though canoeists can navigate it with careful attention to wind and weather conditions. West of the community of Paradise, the river becomes tidal, adding another variable for trip planning.

There are multiple access points along the route, allowing paddlers to customize the length of their trip. Notable access locations include Riverside Park in Middleton, Lawrencetown River Access Park, Hebb's Landing Park and Boat Launch, and the Annapolis River Causeway Park and Boat Launch near Annapolis Royal. The Causeway Park features a floating dock system suitable for small to medium craft, interpretive signs, picnic tables, and a viewing bench. The floating docks are seasonal and removed for winter months. Dunromin Campground and the Vidito Family Campground and Cottages provide overnight options along the route, as does the Annapolis River Campground.

Points of interest along the river include the Nova Scotia Power Tidal Power Control Gates and the adjacent Tidal Power Plant and Tourist Information Centre near Annapolis Royal. The Eden Golf Course is located along Route 201 on the south side of the river near Lawrencetown.

The river offers a sense of remoteness and solitude and is considered a reasonably safe paddle throughout its length. The route is listed as part of the Canoe Annapolis County guide, which covers 27 paddling routes in the county. The Causeway Park boat launch is open seasonally from May through December.