The settlement contains a gas station and a restaurant known as the "Beer House". Milkovo also houses the Milkovo Museum of Local Lore, which was founded as a volunteer effort in 1976, the effort being led by the artist Mikhail Iosifovich Ugrin. The museum contains artifacts from the indigenous peoples of Kamchatka such as the Itelmens, Koryaks, Evens, Aleuts, a memorial cabinet to the Italmen and Soviet poet, writer, and folklorist Georgy Germanovich Porotovas, and objects from the nature of the area such as ancient animal fossils, a bison skull, tusks and mammoth teeth, stuffed birds, and minerals.[4][5]
Milkovo also contains the Ostrozhnaya Wall park-museum, which was established in the 1980s and hosts annual fairs and various holiday events, including a rock festival that has been held every year since 2012. The park features a monument honoring Kamchatka's pioneers and indigenous people, along with statues of the Itelmen god Khantai, depicted as a half-man, half-fish figure. Khantai, revered as the patron of anglers, is positioned facing the river, where offerings are traditionally made to him.[6]