Hi! I understand your concerns about starting creatine, especially after having been on Accutane. While there isn't concrete scientific evidence linking creatine directly to acne, personal experiences can vary. I’ve been taking creatine 2x a day for almost a year now and my skin didn’t break out not even once… Staying well-hydrated is important when taking creatine, as it helps with its absorption and can potentially mitigate any side effects. If you decide to try creatine, consider starting with a lower dose to see how your body reacts before moving to the recommended dose. And keep a close eye on your skin’s condition. If you notice any changes, you can adjust your intake, stop using it or maybe consult with dermatologist or healthcare provider since you’ve been on Accutane before.