Pros & cons
PROS
- Scenic boat shuttle can shorten the hike
- Backcountry campground by the lake with bear box
- Frequent moose sightings along the shore
CONS
- Mosquitoes can be intense in summer
- Mountain weather is fickle; snow possible even in summer
- No services or road access at the lake
Overview
Upper Two Medicine Lake sits in a dramatic cirque at the head of the Two Medicine Valley, ringed by Lone Walker Mountain, Mount Helen, Mount Rockwell, and the eye‑catching Pumpelly Pillar. It’s the wilder, quieter sibling to the main Two Medicine Lake—clear water, big walls, and a backcountry feel without much development.
Getting There
You’ll reach the lake by trail—no roads here. Hike from the Two Medicine area (the full out‑and‑back is roughly 11 miles via the South Shore route and is considered moderate), or take the scenic boat shuttle across Two Medicine Lake to lop 5–7 miles off the round trip before continuing on foot. The approach winds through forest and along Two Medicine Creek with a short spur to Twin Falls.
What You’ll See
Expect lush forest, ferny creek crossings, and then the payoff: a clear alpine lake backed by a glacial headwall and steep cliffs. Calm days bring mirror‑like reflections. Along the shore you may find small rocky beaches and driftwood piles—great perches for a snack break.
Wildlife
Moose are regularly spotted nosing around the shoreline. This is also classic bear country. Carry bear spray, make noise, and give wildlife a wide berth.
Camping
There’s a designated backcountry campground near the lake—simple and quiet—so you can linger for sunset and sunrise without rushing the hike. Expect a primitive setup and use the provided bear box for food storage.
Best Time to Visit
- Summer after snowmelt is prime; shoulder months can be lovely but variable.
- Start early for quieter trails and better chances at moose along the shore.
- The hike is not recommended in winter; even in summer, cold snaps and fresh snow can happen.
- If you plan to ride the boat, align your start/turnaround with its schedule.
Know Before You Go
- This is backcountry: no services, unreliable or nonexistent cell coverage, and rapidly changing weather. Pack layers, rain protection, plenty of water, and a map you can use offline.
- Bugs ramp up near water in peak summer—bring repellent.
- Add the Twin Falls spur on the way—it’s a short, worthwhile detour.
Is It Worth It?
If you want big-mountain scenery without the crowds of the busier districts, yes. The boat-plus-hike option keeps it accessible, and the moose factor is a delightful wildcard.
Where it is
48.4644, -113.4594Tips for Upper Two Medicine Lake
- 01Use the boat shuttle to trim 5–7 miles off the round trip.
- 02Add the short spur to Twin Falls on the way to the lake.
- 03Carry bear spray and know how to use it; moose and bears frequent the area.
- 04Bring bug repellent in summer and pack extra layers for sudden weather shifts.
- 05Download offline maps—cell service is unreliable to nonexistent.
Amenities
Near Upper Two Medicine Lake
All places →All trails →
1.2 mi awayNo Name LakeA turquoise cirque lake and quiet backcountry camp above Two MedicineCampground · Restroom
1.6 mi awayDawson PassWind-scoured pass with giant Lewis Range and Two Medicine viewsScenic Viewpoint
1.7 mi awayTwin FallsA pretty double cascade, easiest via the Two Medicine boatTrailhead · Parking
2.2 mi awaySinopah MountainStriking Two Medicine peak with a serious Class 3 scrambleTrailhead · Parking
4.3 mi awayAster ParkWaterfall-to-overlook payoff with moosey ponds in Two MedicineModerate · 4 mi · 1.8 hr
4.3 mi awayTwo Medicine South ShoreShoreline stroll with boat-shuttle shortcuts to falls and a cirque lakeModerate · 6.9 mi · 2.7 hr
4.3 mi awayTwin Falls TrailShort, shady stroll to a photogenic twin cascade in Two MedicineEasy · 2 mi · 45 min
4.3 mi awayTwin FallsShort, shaded walk to a photogenic double cascade via lake boatEasy · 2 mi · 1 hr
