The main activity of Sakatia Lodge is scuba diving. 400 Meters from the Lodge the house reef of Nosy Sakatia is not only excellent for diving, but also for snorkeling. There are several spots around the island that are good for snorkeling and they are best visited with a pirogue (a traditional dug out boat).

Other activities that Sakatia Lodge can organize are horseback riding on Nosy Be, island walks, quad biking, whale watching (seasonal) and tours to other nearby islands, such as Nosy Komba and Nosy Tanikely.