'creatively-altered' originates from the combination of 'creative' and 'altered', where 'creative' comes from Latin 'creare' meaning 'to create' and 'altered' from Latin 'alterare' meaning 'to change'.

'creatively' evolved from the Latin 'creare' through Old French 'creatif', and 'altered' from Latin 'alterare' through Old French 'alterer'.

Initially, 'creative' meant 'to bring into being', and 'altered' meant 'to change'. Together, they evolved to mean 'changed in a creative way'.