Despite being only 23 acres in size, Spruce Knob Lake offers a wealth of recreational activities. The lake is named for its proximity to Spruce Knob, a nearby lookout point that is the highest point in the state of West Virginia. The top of the lookout point is only a short hike from the lake, but it's also possible to drive most of the way. Many visitors come here to fish; boats with electric motors are permitted, but many visitors choose to canoe or kayak instead. A boat launch is available, as is a fishing dock. Swimming in the lake is not permitted.

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