When polycrystalline metals and their alloys are used at high temperature, creep deformation leads to changes in their internal state. The change in internal state manifests itself in many ways, but the two ways that concern us in this review are (i) the creation of internal stress arising from the strain incompatibility between grains and/or the formation of cell/sub-grain structures and (ii) a change in the material resistance. This review aims to provide a clear separation of these two concepts by exploring the origin of each term and how it is associated with the creep deformation mechanism. Experimental techniques used to measure the internal stress and internal resistance over different length-scales are critically reviewed. It is demonstrated that the interpretation of the measured values requires knowledge of the dominant creep deformation mechanism. Finally, the concluding comments provide a summary of the key messages delivered in this review and highlight the challenges that remain to be addressed.