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The mountains of this eastern Kentucky region have cultivated a clearly definable culture, complete with music, dance, craft, and linguistic contributions.

Elkhorn City is art central for Pike County, boasting monthly Old Time Music Jams, a new theater, and several new public art projects—tile wall murals in the shape of quilts and a waterfront park with sculptures. Add to this history the recent projects by national, even international artists, and you have a town that is unique in its support of the arts, art that is characterized by respect for local culture and history, the natural ecology of the region, and collaborative participation by town residents.