The North Sylamore Creek is most commonly used for floating and swimming, when the levels of the creek allow. As a wild and scenic river, the water levels of the creek often vary wildly and unpredictably. More recently, the North Sylamore Creek Trail was built through the area. It is a fork of the Ozark Highlands Trail, and the future Trans-Ozark Trail. The trail is 22.8 miles[3] long, and is often used for backpacking and other recreation opportunities.