South of Lake City, the Elk Creek is a popular steelhead fishery. The 12 mile long Elk Creek is well known for its steelhead runs, and also for its occasionaly Coho salmon and Chinook salmon runs. The steelhead typically run from mid-October through April, while the salmon run from mid-September through October. The river is characterized by riffles, runs and fast pools.
Although the entire river can be fished, the most popular section is the last couple miles before the Lake Erie confluence, typically below the SR5 bridge just north of Lake City, known as the Lower Elk Creek.
Overall, Elk Creek - Upper Section is the 47th most popular fly fishing river of all 49 fly fishing spots in Pennsylvania.