This report presents an assessment of the creative sector support needs in the North East Iceland region. The findings are based on the perspective of creative practitioners and entrepreneurs. The creative sector environment in the region has a number of strengths, but also challenges limiting creative business development. The key findings inform a number of recommendations to support the future development of the creative sector in the North East Iceland region. We also discuss strengths of the region and outline good practice examples of innovative initiatives, projects and supports. This part of the analysis can provide insights for other peripheral regions to inform approaches to creative sector development.