Your body makes about a gram of creatine a day from three amino acids and gets roughly another gram from meat and fish. Most of it sits in muscle as phosphocreatine, which rebuilds ATP during short, hard efforts; supplementing tops those stores up by around 20 to 40 percent.
My take
Core
Situational
Trying
Researching
Not taking
S-tier. If you don’t know where to start, start here.
What to buyPlain creatine monohydrate. It's the form in nearly every study, and the cheapest.
How to take it5 g a day with water, any time. Loading isn't needed: it only fills your stores in a week instead of a month.
What to expectA kilo or two of water weight in muscle early on. Strength shows up over weeks of training, not days.
What the studies show
2 Strong6 Preliminary
Each segment is one studyBetterNo changeWorse
Strong: at least one pooled review or three randomised trials among the counted studies, and at least three in four of them better. Preliminary: everything else. Better is green in a Strong finding and ochre in a Preliminary one.
Better means a statistically significant change in the claimed direction at a normal dose. Each study counts once: a pooled review speaks for the trials inside it.
7of 7 studies betterof 7
Strength
1,937 people, Kazeminasab 2025 · clearest in younger adults and men
7 of 7 studies better
Creatine adds more strength than training alone, though the gain varies by lift, age and sex. The reviews split on older adults: most found small to moderate gains, but one found no significant gain.
Strong
Strength
What these 7 studies found. Pooled reviews: 7 better.
More strength than training alone, from 31 of its 63 trials for the upper body and 34 for the lower; a moderate effect, larger in studies of younger people.
Wang 2026 Journal of the International Society of Sports Nutrition
In men aged 18 to 30, a stronger squat by 11.9 kg (16 of its 37 trials) but no significant gain in the leg press (12 trials); it pooled end-of-study values rather than changes.
In postmenopausal women, 7.5 kg more on the leg press, from 3 of its 7 trials (111 women), all with resistance training; the bench press gain was not significant.
Naddafha 2026 Journal of the International Society of Sports Nutrition
In adults aged 60 and over, a small gain in strength over training alone, with moderate certainty.
Yao 2026 Frontiers in Nutrition
Meta-analysis
11 trials · 326 people
Found with a PubMed search: creatine in the title, strength or resistance training in the title or abstract, trials and reviews. 243 results on 27 Sep 2026.
6of 8 studies betterof 8
Lean mass
3,655 people, Pashayee-Khamene 2024 · only alongside resistance training
6 of 8 studies better
With resistance training, creatine adds about 1 kg more lean mass than training alone, but no clear gain without exercise. Scans of muscle size show barely any gain, and the reviews split on older adults.
Strong
Muscle
What these 8 studies found. Pooled reviews: 6 better, 2 no change.
In men aged 18 to 30, 1.8 kg more lean body mass (16 of its 37 trials) and 2.3 kg more fat-free mass (15 trials), gains significant only with resistance training; it pooled end-of-study values rather than changes.
In adults aged 60 and over, the gain in muscle mass, from 6 of its 11 trials, was not significant; low certainty.
Yao 2026 Frontiers in Nutrition
Meta-analysis
11 trials · 326 people
Found with a PubMed search: creatine in the title, lean, fat-free or muscle mass in the title or abstract, trials and reviews. 140 results on 27 Sep 2026.
4of 6 studies betterof 6
Repeated sprints and short all-out efforts
1,937 people, Kazeminasab 2025 · Wingate gains in men, not women
4 of 6 studies better
Creatine adds peak power in the 30-second all-out Wingate test, in men but not clearly in women. The evidence on sprints themselves is weaker: reviews in soccer players and swimmers found no significant gain.
Preliminary
Performance
What these 6 studies found. Pooled reviews: 3 better, 2 no change. Trials: 1 better.
More peak power in the 30-second Wingate test, from 12 of its 69 trials; the gain was significant in its arms taking more than 8 g a day, which its table shows as 10 to 35 g a day for 2 to 7 days, and not in those taking 8 g a day or less.
In men aged 18 to 30, 71 W more peak power and 40 W more mean power in the Wingate test (12 and 11 of its 37 trials), with or without resistance training; high certainty for peak power.
In soccer players, better Wingate test results (2 of its 9 trials), but no significant gain in repeated sprints (3 trials) or single sprints (3 trials).
In 20 young soccer players in its monohydrate and placebo arms, 5 g a day through 4 weeks of sprint training gave faster 20 m sprints and more Wingate peak power than placebo, but no more mean power.
Duan 2026 Journal of the International Society of Sports Nutrition
Randomised trial
40 young soccer players
5 g a day · 4 weeks
Found with a PubMed search: creatine in the title, sprints, anaerobic, Wingate, high-intensity, intermittent or all-out in the title or abstract, trials and reviews. 174 results on 27 Sep 2026.
3of 8 studies betterof 8
Strength and soreness after hard exercise
469 people, Doma 2022 · no faster recovery of strength or soreness
3 of 8 studies better
Two pooled reviews found strength and soreness recovered no faster with creatine after hard exercise. Newer small trials split: three found faster recovery, two found none and one found more soreness.
Preliminary
Recovery
What these 8 studies found. Pooled reviews: 2 no change. Trials: 3 better, 2 no change, 1 worse.
Strength and soreness, from 11 of its 23 trials, recovered no faster; blood markers of muscle damage were lower 2 to 4 days after a single hard bout but higher a day after the last session of several weeks' training.
Strength, soreness and range of motion, from 7 of its 13 trials, recovered no faster at any point up to 96 hours; creatine kinase in the blood was lower at 48 hours only.
Northeast 2021 International Journal of Sport Nutrition and Exercise Metabolism
In 14 active men, a week of loading brought more soreness 24 hours after repeated shuttle sprints and no faster recovery over 72 hours, though soreness before the test was lower.
In 11 active men, one dose of 0.1 g per kg, taken before, during or after a heavy lifting session, left soreness, perceived recovery and jump height soon after the session no different from placebo.
In 10 trained men, three days of loading kept jump height higher than placebo 24 hours after a heavy lifting session and again three days later, when leg soreness was also lower.
Salem 2025 Journal of the International Society of Sports Nutrition
Randomised crossover trial
10 resistance-trained men
0.3 g per kg a day · 3 days
Found with a PubMed search: creatine in the title, muscle damage, recovery or soreness in the title or abstract, trials and reviews. 101 results on 27 Sep 2026.
0of 4 studies betterof 4
Endurance and VO2max
424 people, Gras 2023 · VO2max rose less with creatine
0 of 4 studies better
Creatine showed no clear endurance benefit. A 2023 pooled review of 19 trials found VO2max rose less with it than with placebo, and studies in soccer players and active women found little or no aerobic gain.
Preliminary
Endurance
What these 4 studies found. Pooled reviews: 2 no change, 1 worse. Trials: 1 no change.
VO2max rose less with creatine than with placebo across its 19 trials; time to exhaustion did not differ, and in its young, healthy subgroup the ventilatory threshold rose with creatine.
Gras 2023 Critical Reviews in Food Science and Nutrition
In 20 young soccer players in its monohydrate and placebo arms, 5 g a day through 4 weeks of sprint training raised VO2max no more than placebo.
Duan 2026 Journal of the International Society of Sports Nutrition
Randomised trial
40 young soccer players
5 g a day · 4 weeks
Found with a PubMed search: creatine in the title, endurance, aerobic, VO2max, VO2peak, maximal oxygen, oxygen uptake or time trial in the title or abstract, trials and reviews. 115 results on 27 Sep 2026.
4of 6 studies betterof 6
Memory and processing speed
492 people, Xu 2024 · moderate certainty for memory
4 of 6 studies better
A 2024 pooled review of 16 trials found better memory, attention and processing speed. The reviews split on whether older or younger adults gain more, and one found creatine's effect on cognition unclear.
Preliminary
Cognition
What these 12 studies found. The ring counts 6 of them: the other 6 are trials pooled in McMorris 2024, Xu 2024 and Marshall 2026, counted through them. Pooled reviews: 4 better, 1 no change. Trials: 1 no change. Pooled in McMorris 2024: 2 better. Pooled in Xu 2024: 2 no change. Pooled in Marshall 2026: 1 better, 1 no change.
In older adults, 5 of 6 studies linked creatine to better cognition, mostly memory and attention, but 4 of the 5 were dietary surveys and its one randomised controlled trial found no change; half rated poor quality.
Found with a PubMed search: creatine in the title, memory or cognition in the title or abstract, trials and reviews. 27 results on 27 Sep 2026.
2of 3 studies betterof 3
Thinking clearly on no sleep
63 people, Williams 2026 · favourable but sparse early results
2 of 3 studies better
A few small studies suggest creatine helps thinking hold up through sleep loss, with gains on some tasks, none on others. The largest trial's single dose of about 14 g clearly helped only logic tasks.
Preliminary
Sleep & cognition
What these 3 studies found. Pooled reviews: 1 better, 1 no change. Trials: 1 better.
In sleep-deprived adults (2 of its 15 trials, both a week of 20 g a day), equivocal results: a gain on one or two tasks after 24 or 36 hours awake and none on the rest.
Its five studies, giving a week of 20 g a day or one dose of 0.05 to 0.35 g per kg, showed a positive trend through acute sleep loss that varied by cognitive domain; it calls the research sparse.
Williams 2026 Journal of Integrative and Complementary Medicine
In 29 healthy young adults kept awake overnight, one dose of 0.2 g per kg (about 14 g) slowed the decline against placebo, most clearly in logic tasks, its only gain to survive correction for multiple tests; memory did not gain.
Gordji-Nejad 2026 Nutrients
Randomised crossover trial
29 healthy young adults
0.2 g per kg, once · one night awake
Found with a PubMed search: creatine in the title, sleep deprivation, sleep loss or sleep restriction in the title or abstract, trials, placebo-controlled studies and reviews. 9 results on 27 Sep 2026.
1of 2 studies betterof 2
Depression, alongside treatment
1,093 people, Eckert 2025 · 294 with depression; very low certainty
1 of 2 studies better
Alongside treatment for depression, creatine eased symptoms more than placebo, but on very low-certainty evidence with substantial bias in its favour. A second review found a benefit in 2 of 5 trials.
Preliminary
Mood
What these 3 studies found. The ring counts 2 of them: the other is a trial pooled in Jeryous Fares 2026, counted through it. Pooled reviews: 1 better, 1 no change. Pooled in Jeryous Fares 2026: 1 better.
In people with depression, all taking it alongside their treatment, symptoms eased more than with placebo (294 of its 1,093 people), but not in people without depression taking it alone; it found substantial bias favouring creatine and rated the evidence very low certainty.
In people with depression, 2 of its 5 trials found adding it to treatment eased symptoms more than placebo, with escitalopram and with talking therapy, and 3 found no difference; it calls it promising.
In 100 adults with depression having talking therapy, 5 g a day for 8 weeks lowered depression scores more than placebo.
Sherpa 2025 European Neuropsychopharmacology
Randomised trial
100 adults with depression
5 g a day · 8 weeks
Pooled in Jeryous Fares 2026
Found with a PubMed search: creatine in the title, depression, depressive or antidepressants in the title or abstract, trials, placebo-controlled studies and reviews. 25 results on 27 Sep 2026.
Dose
3 to 5 g a day, any time of day, with or without food. Loading fills your stores in a week instead of a month; it isn't needed.
Daily3 to 5 g, any time of day
TCThiago, 5 g
Loading, optional20 g a day in four doses, 5 to 7 days
No harm to healthy kidneys in trials up to 5 years. It raises creatinine on blood tests, which can look like a kidney problem, so tell your doctor you take it.
In trials of up to 4 weeks in athletes exercising in the heat, it neither raised body temperature nor upset fluid balance. Over an American college football season, players who chose to take it had fewer cramps.
Kidney disease, or medicines that affect the kidneys.
Forms
Creatine monohydrate
The form in nearly every study, and the cheapest.
This page
Creatine HCl
Dissolves about 38 times better in water. A 2024 trial found no advantage over monohydrate; a small 2026 trial in soccer players found slightly bigger sprint and jump gains.
Breaks down before it reaches muscle. A 2009 trial found it worse than monohydrate; a small 2026 trial in soccer players found slightly bigger sprint and jump gains.