Lake Nasworthy Boat Ramp offers multiple public access points along Knickerbocker Road on the south lake shore, with the Lake Nasworthy Marina location featuring a one-lane concrete ramp, parking, courtesy docks, boat gas, and picnic areas—all free and open year-round.

Most ramps are operated by San Angelo Parks & Recreation and provide basic amenities like parking and courtesy docks, though boaters should be aware of zebra mussels in the reservoir and follow required drain procedures before leaving.