At Knotheads Bar and Grill, just off of the shore of the beautiful Missouri River, in the heart of Pickstown, South Dakotah, we offer a gathering place where visitors come to unwind and enjoy high quality food. We offer a welcoming atmosphere with delicious food, refreshing drinks, quality and friendly service, live entertainment, and much more! We hope to see you stop in and embrace the natural beauty around this community!

In rememberance of one of the original "Knotheads", Duane "Boogs" Heisinger lost his battle with brain cancer in 2020. It's in his memory that we continue to live each day with joy and love!

Fast forward to 2024, Knotheads is now currently locally owned and operated. We are revamping our space to create an even more inviting and comfortable atmosphere for our customers. Beginning with updated bathrooms/dining area, new menus, and a new space for a bar game room! Stop in!

Enjoy a cocktail on the patio with a view of the amazing Missouri River, or dine in and enjoy a hand cut steak! With our live music events, private party reservations, online ordering/takeout options, shuttle service, and bar game oom, we have got you covered!