The article addresses therapeutic hospital clowning – an increasingly popular yet still insufficiently described form of emotional support for hospitalized children. Clown doctors, often mistakenly perceived solely as entertainers, in fact play an important role in the treatment process by accompanying children during difficult moments of hospitalization and supporting them in coping with fear, pain, and uncertainty. The aim of the article is to present the work of clown doctors as a conscious and complex therapeutic intervention that requires specific competencies, professional preparation, and ethical reflection. The paper combines a review of the literature with the practical experience of a volunteer team working in a children’s hospital. It describes the structure of clown doctors’ visits with children, the techniques they use, and the organization of the team’s work, highlighting differences between professional and volunteer-based models in various countries. Particular attention is given to the therapeutic tools of hospital clowns, such as distraction, support for emotional expression, and the building of a relationship based on the child’s consent. The article also reflects on the status of this form of support, questioning whether the hospital clown should be viewed primarily as an artist, a therapist, a member of the medical team, or still as a marginal figure within the healthcare system. The presented review and practice-based analysis aim to outline the framework of a possible therapeutic intervention model and to contribute to a better understanding of the potential of this profession in the context of pediatric hospital care.