Old Town Creek is a tidal creek and marsh waterway located in the West Ashley neighborhood of Charleston, South Carolina. It runs through the Maryville community and is a well-used waterway for paddling. A primary public access point for launching is at Charlestown Landing, which volunteers have used to access the creek via paddleboards. The creek's character is that of a marsh restoration area, with ongoing efforts to replant spartina grass to reestablish the marsh ecosystem. This work is often coordinated around high tide, which makes navigation and access to the planting areas feasible, indicating that tidal timing is a critical factor for paddlers. The location is challenging to access, requiring paddlers to transport gear on their vessels. The marsh grass plays a significant ecological role by filtering and trapping contaminants. The area has faced storm damage and is considered an impaired, historically important waterway undergoing restoration. The presence of organized volunteer efforts using paddlecraft confirms it as a paddling destination where users should be prepared for a natural, working marsh environment with significant tidal influence.