When O+ launched in Kingston in 2010, the pitch was almost absurdly simple: trade art for healthcare. A dentist would fix a musician’s teeth. Doctors would donate their time. Artists would fill the city with music and murals. Sixteen years later, the exchange has grown into one of the Hudson Valley’s defining cultural institutions, and every October, its annual festival serves as both celebration and fundraiser for the year-round work that happens behind the scenes.

The 16th annual O+ Festival returns October 9 through 11 with more than 100 performers, artists, writers, comedians, filmmakers, and wellness practitioners spread across venues throughout Kingston. This year’s theme, “MO+NUMENTS,” asks what we choose to commemorate, who gets remembered, and how communities reshape inherited ideas of history and power.

The music lineup is led by Memphis roots-rock veterans Lucero, whose whiskey-soaked blend of punk, country, and heartland rock has earned a devoted following over the past quarter century. They’re joined by singer-songwriter Matt Pond PA, rapper and educator MC Lars, Pete Bernhard of The Devil Makes Three, DJ Alexis Krauss of Sleigh Bells, Guided By Voices guitarist Doug Gillard, Americana favorites The Mammals, Only Son, Gerry Leonard’s Spooky Ghost, Chris Maxwell, and JO+ni Jam, a tribute to Joni Mitchell featuring a rotating cast of guests. More than 60 percent of this year’s musical performers hail from the Hudson Valley, continuing O+’s longstanding commitment to showcasing regional talent alongside national acts.

Visual art remains central to the festival’s identity. Chicago muralist Sam Kirk headlines a public art program that also features Justin Lowe and Lon Clark, Casey Inch, and Hannah Williams, while exhibitions by Adriane Colburn, Jacinta Bunnell, and Lexa Walsh explore technology, ecology, memory, and community. Performance collective inkBoat returns with Nobody Told the Flowers to Come Up, an ecological meditation on climate and seasonal change, while filmmaker Pablo Aravena screens NEXT: A Primer on Urban Painting. Troy animator Nathan Meltz brings The Golem Trilogy to life with a live musical score.

Artists Boogie and REZ, known collectively as BoogieREZ, bring their collaborative practice to this year’s O+ Festival as part of the event’s visual arts program.

The literary program welcomes former Hole and Smashing Pumpkins bassist and Basilica Hudson cofounder Melissa Auf der Maur to discuss her new memoir, while Sunday’s WO+rd salon spotlights eight Hudson Valley writers reading original work. Comedy includes musical duo Griefcat, physical comedian Tippy Topwell, interactive act My Boy, and a slate of regional comics hosted by WAMC’s Sarah LaDuke.

Beyond the ticketed performances, O+ once again expands into the streets with the free BlO+ck Party in Uptown Kingston on October 10, featuring community organizations, vendors, health resources, and live entertainment. ExplO+re, the festival’s public wellness series, offers workshops in movement, sound healing, martial arts, mindfulness, and conversations with healthcare professionals.

Performance collective inkBoat returns to this year’s O+ Festival with Nobody Told the Flowers to Come Up, an immersive work exploring ecology, seasonal cycles, and climate disruption through movement and performance.

Yet the concerts, murals, and readings are only part of the story. At the heart of O+ is the Artists’ Clinic, where participating musicians, writers, performers, visual artists, and volunteers receive healthcare in exchange for their contributions to the festival. Dental care, physical exams, acupuncture, chiropractic treatment, dermatology, nutrition counseling, mental health resources, and other services have become hallmarks of an exchange model that has grown well beyond a single weekend. Today, O+ operates year-round, connecting artists with low- or no-cost preventive healthcare while using the festival to sustain that mission.

Memphis roots-rock veterans Lucero top the bill at this year’s O+ Festival, leading a lineup of more than 100 musicians, artists, writers, comedians, and wellness practitioners gathering in Kingston October 9-11.

That makes O+ something rarer than a successful arts festival. It is a healthcare nonprofit whose most visible fundraising campaign happens to look like one of the Hudson Valley’s best weekends of live music, public art, literature, and comedy. Every wristband sold helps underwrite care for the artists whose work gives the region much of its cultural life—a reminder that creativity doesn’t flourish on inspiration alone.

Wristbands for the 2026 festival are currently available online.

Brian is the editorial director for the Chronogram Media family of publications. He lives in Kingston with his partner Lee Anne and the rapscallion mutt Clancy.

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