Named tributaries of Fall Creek from source to mouth are Buzzard, Briem, Saturn, Delp, and Ninemile creeks. Then come Gold, Pacific, Tiller, Marine, Hehe, Small, and Gibraltar creeks. Further downstream are Alder, Puma, Jones, Portland, and Andy creeks. Then come Bedrock, Slick, Timber, Boundary, and Little Gold Creek. North Fork Fall Creek is next, after which Winberry Creek enters at Fall Creek Lake. Little Fall Creek enters the main stem in the lower reaches below the lake.
Covered bridges
at Unity carries Unity–Lowell Road over Fall Creek. The bridge is about below Fall Creek Reservoir and about by water from the mouth of the creek. Unity Bridge was added to the National Register of Historic Places in 1979. Further downstream, Pengra Bridge carries Place Road over the creek along its lower reaches. The Howe truss structure, built in 1938, was also added to the National Register of Historic Places in 1979.
Recreation
Hiking and camping
Fall Creek National Recreation Trail runs along the creek between the Dolly Varden Campground and a trailhead near Tiller Creek. Access to the generally level hiking trail is via five trailheads at different points along the route. Log footbridges span the side streams of the trail, which connects to other trails, among them Clark Butte, Cowhorn Mountain, Gold Point, and Jones. Campgrounds are found at intervals along the Fall Creek National Recreation Trail and Forest Road 18. These include Dolly Varden, Big Pool, Broken Bowl, Bedrock, and Puma. Clark Creek Organization Camp, built by the Civilian Conservation Corps in the 1930s, has sites for group camping.
State park
, a state park at Fall Creek Reservoir, has a variety of campgrounds and day-use areas, each with amenities that vary from site to site. These include boat launches, swimming areas, picnic areas, toilets, and parking. The park is open from May through September.
Fishing
Fishing in Oregon describes the creek as "beautiful" as well as popular with anglers in pursuit of fin-clipped Chinook salmon, stocked rainbow trout, and wild cutthroat trout. Fin-clipped Chinook salmon are hatchery fish which were stocked through 2001. Currently, their descendants and wild salmon are trapped and hauled up over the dam. Outgoing salmon were historically challenged by predation by piscivorous non-native fish such as largemouth bass and crappie and difficulty navigating out over the dam. A novel study published in 2019 found that by simple, low-cost draining the reservoir to streambed for a short period each year for a number of years, salmon could more easily outmigrate and non-native warmwater fish were flushed out into coldwster, riverine conditions where they could not survive. This strategy has resulted in improved outmigration of salmon and led to the gradual disappearance of two species of predatory invasive fish in the artificial reservoir. Above Fall Creek Lake, the creek is heavily stocked with rainbow trout as far upstream as Gold Creek. Salmon, steelhead, and salmon also frequent the creek downstream of the dam impounding the lake. The lake previously supported populations of non-native largemouth bass, crappie, bluegills, and a few trout.