It is in the Massif Central and permeated by the Creuse River and its tributaries. The river is dammed at several locations both for water supply and hydroelectricity generation. Typically for an inland area of continental Europe, Creuse has relatively cold winters with some snowfall into April but also hot summers, although rain falls throughout the year because of the relatively high elevation. The topography is principally rolling hills intersected by often steep valleys. The terrestrial ecology is typically cool temperate with a species mix that would not be uncommon in the western UK with oak, ash, chestnut , hazel and Prunus species dominating the woodlands. There are no commercial vineyards and much of the farming is beef cattle (Charolais and Limousin) and also sheep.
Since the late 1990s the Creuse has become a tourist destination. The summers are relatively warm, but not as hot as in the southern parts of France. With forests and a few houses dominating the landscape, and little pollution, many foreigners (notably British and Dutch, but also German and Belgian) have sought to buy homes in the Creuse.