Forming the border between Mineral and Hampshire counties in West Virginia, Patterson Creek Mountain is a long undulating ridge flanked by Patterson Creek. The highest point along the ridge is Charles Knob at 2,723 feet, and in addition there are several more peaks waiting to be conquered. The Patterson Creek Trail System is popular with hikers, mountain bikers, and even trail runners and attracts a number of annual mountain bike events and marathons. The adjacent Patterson Creek offers a variety of water activities, including swimming, trout fishing, canoeing, kayaking, and tube-floating and there are good opportunities for backcountry camping and wildlife watching as well as several serviced campgrounds in close proximity.

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