The Bitter Spring Wash exits east-northeastwards into the Overton Arm of Lake Mead, at Echo Bay, Nevada.

An unimproved route, named Bitter Spring Trail traverses the Muddy Mountains and the valley from paved routes from Echo Bay to Valley of Fire Highway, and Interstate 15.

The arc shaped 4 mi (6.4 km) long Bitter Ridge[1] separates the longer South Section from a North Section surrounded by the Muddy Mountains west, northwest, and north.

The washes in the South Section combine to flow east-northeast to Echo Bay, Overton Arm.

[1] North Shore Road, from Nevada State Route 564, Henderson, Nevada is the major southern route to Echo Bay, and the east region of Bitter Spring Valley; North Shore Road traverses the northeast sections of the Black Mountains, which border Lake Mead.