Mostly pretty good. The Sandstone Trail varies in difficulty from easy to moderate, depending on the terrain. Short, steep sections include those at Frodsham, Beeston Castle, Higher Burwardsley, Rawhead and Bickerton. Timber and stone steps climb the steeper parts.

The easiest, flattest sections are those in Delamere Forest Park and alongside the Llangollen arm of the Shropshire Union canal between Willeymoor Lock and Whitchurch.

A full access audit was first done in 2008. Stiles along the Trail have now mostly been replaced with kissing gates — making the Trail suitable for families with young children, people with limited mobility and dogs.