Southeast of Pittsburg and northeast of Confluence, the Laurel Hill Creek is popular for fly fishing its brown trout, brook trout and rainbow trout.
The best section for fly fishing Laurel Hill Creek is below Laurel Hill Lake at Trent. Below the lake, there are several coldwater feeder streams. The twelve mile section above Humbert passes through a remote, scenic gorge that has hiking-only access, but it is worth it. There is a 1.2 mile special regulation section from the footbridge off State Game Land 111 running downstream to Paddytown Hollow Run.
Overall, Laurel Hill Creek is the 26th most popular fly fishing river of all 49 fly fishing spots in Pennsylvania.