Background: Creative activities are easy to access leisure activities with potentially positive effect on health and wellbeing after stroke; however, there is limited research evidence about their use in rehabilitation. Aim: To collate and present available knowledge concerning the use of creative activities in stroke rehabilitation; to identify the need for future research; and discuss the potential of using the findings for advancing occupational therapy. Method: A scoping review method was used. Results: Fifty-six studies were included, incorporating quantitative and qualitative methodologies, with music being the most represented medium for therapies (78%), followed by visual arts and crafts (25%), and creative writing (2%). Treatment outcomes included the betterment in physical, cognitive and psychosocial functions, but also in participation and life-quality. Most frequently reported effect was better emotional state (52%), enjoyment of therapy (32%) and supporting relationships (32%). Conclusion: This scoping review identified a range of studies, involving different health specialists incorporating creative activities into stroke rehabilitation. Music, visual arts and crafts, and creative writing were reported to improve physical, cognitive and psychosocial functions, but also participation and life-quality. There is still a need for additional research with rigorous design on creative activities’ use in stroke rehabilitation, and also a need for critical appraisal of the existing studies for increasing the evidence base. Occupational therapists can use the knowledge from the scoping study for increasing their role in rehabilitation team as experts of meaningful activities by contributing to research, as well as to (transdisciplinary) treatment planning.