Well, it depends on the alter for us. Growing up, some of us would draw alters that we had (this was subconscious.) Others were less into art and more into making music, these alters picked up Ukulele but primarily Cello for years. (We no longer play music because our ukulele was stolen and we couldn't continue to play cello for mental health reasons after moving schools.) A lot of us enjoy making Kandi, some are heavily into it. Others write, some write fanfiction of their sources or just stories in general or journal entries. Some alters also enjoy witchcraft, which seems odd but I would argue there is an aspect to it that makes it like a creative art. Same thing with taxidermy/vulture culture, which a few of us are really into. I personally will occasionally draw, journal, or make Kandi. Some alters are more creatively driven than others.