Spruce Knob and the highest point of "The Mountain State" stands at an elevation of 4,863 feet. The portion of the road to the north of the knob is paved, and everything else is gravel and suitable for any vehicle. At the top, you can walk to the Spruce Knob Tower; the hiking trail is approximately 1/2 mile long. The only camping is just off the main road and on Forest Road 1, at the Spruce Knob Lake Campground. Many of the sites in the campground are first-come, first-served, while others require a reservation.