The album produced four singles: "Abigail", "Immaculate Misconception", the title track "Creatures" and "Puppets (The First Snow)", all four of which have accompanying music videos.

The outdoor clips shown in the video were recorded at a live performance during the All Stars Tour's stop in Las Vegas on August 21, 2011.

AllMusic gave the album a positive review but saying, "In a genre with a laundry list of cookie-cutter bands all fighting to grab the attention of a young audience, sometimes distinguishing yourself is a matter of degrees.

Delivering a heavy-hitting dose of horror themed metalcore, Creatures finds the band exploring a more gothic sound.

"[10] Rock Sound gave it 7 out of 10 and said: "While Pennsylvania's Motionless In White push past the boundaries of screamo into more metallic territories, their intermittently screamed and harmonised vocals, epic choruses and brutal breakdowns keep them firmly in touch with their roots.

Thematically, there's a venom spat out in opener 'Immaculate Misconception' that's maintained – lyrical allusions in frontman Chris Motionless' interpretations of history and literature or parallels with his musical heroes (listen out for The Smiths reference in 'Puppets (The First Snow)') keep things good and dark throughout.