Camping can be done on the many sand and gravel bars along the shores of the Kitsumkalum River. Camping is limited on the north end of the lake. There are no facilities provided on the river.
The Upper Kitsumkalum River offers good seasonal fishing opportunities for coho salmon, Dolly Varden char and cutthroat trout.
See the Freshwater Fisheries Society of BC website for more information. Anyone fishing or angling in British Columbia must have an appropriate licence. Check water specific regulations in the current BC Freshwater Fishing Regulations Synopsis and BC Freshwater Salmon Supplement.