<p>This review addresses the phenomenon of the emergence or enhancement of creative abilities during therapy in some patients with Parkinson’s disease (PD). Possible pathogenetic causes of this phenomenon and the connection with impulsive compulsive disorders (ICD) are discussed. All patients with PD who enjoy one or another type of creativity are characterized by increased motivation, impelling them to spend hours doing their favorite thing; the time of onset of this coincides with initiation of dopaminergic therapy. There is a fine line between the emerging “passion” for art and ICD, which is determined by the dose of antiparkinsonism drugs, genetic features, and personal characteristics. The issue of the emergence of creativity in the works of PD patients remains controversial – most studies evidence degradation of divergent thinking, which is a criterion of creativity. Results obtained from observations of artists suffering from PD revealed changes in the style of their works on the background of the disease, the emergence of an emphasis on color and light, a change in the brightness and spectrum of the color palette, and a transition to more abstract images. Factors that may influence creative pursuits include previous skills or abilities in a particular art form, dopaminergic drug use, dosage, cognitive function, family support, and social environment.</p>