Otter Creek Access on Lake McConaughy features a sheltered cove boat ramp ideal for fishing, along with primitive campsites, picnic tables, fish-cleaning station, and hiking trails.

The adjacent Otter Creek Lodge provides rental cabins, fishing/camping supplies, gas, groceries, dining, and guide services.

This location is sometimes referred to as "the fisherman's headquarters" and offers a more rustic camping experience compared to the heavily developed recreation areas on the lake.