The lake is popular for fishing, camping, and photography, often clearly reflecting Mount Adams. Adjacent Takhlakh Lake Campground is administered by the Cowlitz Ranger District of the Gifford Pinchot National Forest. The popular campground features a boat ramp and wheelchair-accessible Takhlakh Loop Trail #134, which encircles the lake, offering more views of the mountain, and accesses the Takh Takh Meadows Interpretive Trail #136 (foot only) that climbs up into the edge of the Takh Takh Lava Flow and Takh Takh Meadows, offering outstanding views of Mount Adams and its sheer, glaciated northwest face as well as Adams Glacier, the second largest glacier in the contiguous United States. The lake is a very popular summer destination, and can be accessed via Primary Road 23, to Road 5601, and Road 2329 from Trout Lake at the southern side of Mount Adams.