The Cow Spots Creamery is a large ice cream parlor found on the side of the road immediately south of New River Gorge Bridge (West). Three giant ice cream cones are attached to the side of the main building, with a sign advertising the business. The location consists of two buildings - a retail space and a factory area - surrounded by a wooden boardwalk. To the south are two houses that cannot be entered and to the west of the retail space is a small outdoor seating area and playground.
The retail building contains a dining area with booths, a Port-A-Diner, and a front counter with two cash registers. Two skeletons can be found behind the counter, one still clutching a bottle of cream. There is also a locked safe (Picklock 0) and a fridge containing yet more bottles of cream behind the counter. Amy Kerry's corpse can be found in an adjoining 'Employees only' area.
The factory area is to the southeast in a separate building. It contains conveyor belts for bottling cream and a tinker's workbench. A red garden gnome eating a popsicle in the shape of a milk bottle perches in the rafters, surveying the scene below.
The Cow Spots Creamery appears only in Fallout 76.