
Mountain Trail follows up the other side of the ridge to also connect to Ledge Spring Trail. Other trails include Sassafras Trail and Grindstone Trail, which connects the popular campground to Ledge Spring Trail.

The Ledge Spring Trail goes past a large picnic area and down along the ridge crest its lower loop back up past a small perennial spring follows a long cliff that is a popular location for rock climbing. The Jomeokee Trail leads around the base of Big Pinnacle. This fire enveloped Pilot Mountain as well, with smoke covering the iconic Knob. In November 2021, a massive 500+ acre wildfire covered Pilot Mountain State Park. Other interesting rock formations are to the east at privately held Sauratown Mountain, and the higher complex at Hanging Rock State Park. The curved depression between the ridge slope to the Little Pinnacle and then to the round knob of the Big Pinnacle gives the entire mountain an even more distinctive shape from a distance. Pilot Mountain is part of Pilot Mountain State Park, which extends to the Yadkin River via a corridor of land, and it is associated with nearby Horne Creek Living Historical Farm. Trails from there allow access to the main Little Pinnacle Overlook and other viewing stations.

Visitors can take a paved road to the park visitor center and campgrounds, then up to a parking lot on the ridge. Big Pinnacle (also called "The Knob") has high and colorful bare rock walls, with a rounded top covered by vegetation, reaching approximately 1,400 feet (430 m) above the surrounding terrain. Pilot Mountain has two distinctive features, named Big Pinnacle and Little Pinnacle. Route 52 passes through the town of Pilot Mountain near the mountain, which is about 20 miles northwest of Winston-Salem, and the city of Mount Airy is 14 miles farther north.
