Heather Wixson of Dread Central called her "one of the finest actresses working in independent film these days".[2] Ramsey began acting at 17. Her first starring role was in The Signal with Justin Welborn and A. J. Bowen. The three had worked extensively with co-directors David Bruckner, Jacob Gentry, and Dan Bush in Atlanta-based productions previously.[3] Her next starring role was in YellowBrickRoad. The directors, Jesse Holland and Andy Mitton, were fans of The Signal and cast Ramsey based on her performance in that film.[4] Ramsey was offered the option of co-producing the film, which she said that she enjoyed. She said that she was drawn to the film based on the setting.[5] In Rites of Spring, she starred as a flawed heroine, which she said was an important part of the characterization for her.[6] She was also interested in appearing in a creature feature. Ramsey performed her own stunts.[2] John Anderson of Variety wrote that Rites of Spring "has a terrific actress in Anessa Ramsey, who's that rare thing in horror, a thoroughly-convincing victim."[7] In 2013, she appeared in a small role in Devil's Knot,[6] and, in 2015, she appeared in the horror anthology Southbound.[8] In 2017, she starred in Roger Corman's Death Race 2050 as Tammy the Terrorist.[9]