In the last two decades, creative tourism has evolved as a burgeoning field, encompassing a wide range of concepts and practices, in different places around the world. From the very beginning, however, creative tourism has aimed to contribute to sustainable development and increased community wellbeing, as an alternative to mass cultural tourism. With this review article, our main objective is to identify and analyze a body of literature that specifically addresses creative tourism in islands, contributing to fill a gap in the knowledge since no reviews with this focus have yet been undertaken. Our aim is to provide a critical overview of creative tourism experiences at island destinations worldwide, addressing the plurality of empirical contexts and methodological approaches found in academic research. This review highlights the key trends in creative tourism, pointing out two distinct approaches: creative tourism in urban contexts, based on creative events, “cultural clusters” or Cultural and Creative Industries (CCIs), versus community-focused small-scale tourism experiences in rural contexts. This paper also provides an opportunity to assess the evolution of sustainable creative tourism approaches in islands.