The Little Kanawha Area offers an array of outdoor activities. There are various local parks where tennis, basketball, a walking track and swimming pool are offered. In addition, North Bend State Park is also located in Ritchie County where camping, picnicking, fishing and fine dining at the local lodge are also available. In addition, various festivals such as the 'Hughes River Festival', 'Wood Festival', and 'Molasses Festival' occur every summer to celebrate rural life. Sisterville, in Tyler County, hosts the Oil and Gas festival each year.
All counties have a wide array of churches and civic organizations.
Churches are available in almost every denomination and local civic groups include the Lion's Club, the American Cancer Society, the Women's Club and the Hospital Auxiliary. Each county has a consolidated high school. The Minnie Hamilton Health Care Center provides care to all ages and offers preventive and acute care. They offer emergency services and a school based health center. HHCC has three full time physicians and two PAs.