As with most other Runecrafting altars, it can be accessed via the Abyss. Players can also enter its ruins by using a nature talisman or an omni-talisman. Players could also simply click on the ruins while wearing a nature tiara, omni-tiara, a wicked hood imbued with any of the above, an omni-talisman staff, or a nature talisman staff.
Currently, the fastest way to get there is to use the wicked hood's teleport, which can only be used 2 times, or 3 if all the wicked robes have been purchased from the Runespan. The second fastest way is to break a nature altar teleport tablet. Both of these methods teleport the player just outside of the altar. The wicked hood can be obtained by talking to Tam McGrubor, and the teleport tablets by playing the Great Orb Project and Treasure Hunter.
The maximum likely limit for crafting nature runes in one visit is 506. This would be achieved by having 91 Runecrafting, giving a 2x bonus, and carrying 253 essence to craft (23 in the normal inventory along with 48 in the 5 sizes of Runecrafting pouches, along with 175 claimed from the wicked hood (if all the wicked robes have been purchased, and 7 from any abyssal Summoning creature), whilst wearing an explorer's ring (which has a 1 in 10 chance of producing an extra rune per essence). The maximum possible experience is 2,277 obtained while doing the above.
A nature tiara may be created at this altar by having a nature talisman and a normal tiara in your inventory. The player must use the tiara on the altar. Doing so will earn 45 Runecrafting experience.