Originally the largest indoor arena in the South, Cameron is today one of the smallest in the nation. Nevertheless, its stature grows from year-to-year. Sellout crowds, top 25 rankings and championships of every variety have become the norm. The "creative harassment" of student spectators has given Duke the honor of being known as "one of the toughest road games in the USA," according to USA Today and any visiting team that has ever played in Cameron. In its June 7, 1999, issue, Sports Illustrated rated Cameron Indoor Stadium fourth on a list of the top 20 sporting venues in the world in the 20th Century, ranking ahead of such notables as Wrigley Field, Fenway Park and Pebble Beach Golf Club.
Duke's men's basketball teams have had a decided home-court advantage for many years, thanks to the diehard students and fans affectionately known as "Cameron Crazies" for their aggressiveness, tough catcalls, bleacher jumping and other actions used to create loud noises (for example, in the 02-22-09 showdown vs. Wake Forest, the arena reached 116 dB, similar in volume to jet engines at takeoff, louder than a jackhammer, and nearing the 120 dB threshold for pain) and rattle opposing offenses. Typically, the seats near the court as well as standing room is reserved for students who wait hours in order to access those areas come game time.
For access to major games, including those against the University of North Carolina, students tent for months in an area outside of Cameron known as "Krzyzewskiville." The hardwood floor was dedicated and renamed Coach K Court in February 2001, in recognition of head coach Mike Krzyzewski's 500th win at Duke.