The most traditional use of creative sound is music. Beyond practice and performance, the traditional pedagogy of the western harmonic and engraved systems of music molds how we hear and envision the use of sound. I explore the creative uses of sound beyond that of only music; explaining how artists implement and perceive sound to benefit the aesthetic choices within their mediums. Through a comparative analysis, I compare western thoughts on musical systems against thoughts on sound from a non-musical, artistic perspective. Aesthetic choices and the use of sound can vary from being used as a tool for manipulation, to audio design, ambience, and environmental imitation. I also analyze the use of sound and harmonic variables in nontraditional sound mediums, such as sound sculpture, sound installation, sonified imagery, and futurist urban instruments. To move beyond the compartmentalization of sonic art from being only music is necessary to have a better grasp on sound as an art form as well as having a better understanding of sound as it relates to physics, acoustics, acoustic imitation.