Spiekeroog was a frequent vacation destination for various German presidents. Gustav Heinemann, Richard von Weizsäcker and Johannes Rau (who got married on the island) spent their holidays here.
As a North Sea coastal resort the island is home to various health institutions including a wellness centre, a mother/child health centre and an island spa. Spiekeroog has a capacity of 3,500 beds for guests - counting all hotels, pensions, private rooms, vacation apartments and health and leisure centres. According to a 2003 survey, 64,000 tourists visit the island yearly, with 554,000 overnight stays and 81,000 daytime visitors. The average stay on the island is 5.8 days.
Beside hotels, pensions and vacation apartments, there is a campsite on the western part of the island. It is open from May to September.