Leather was equally very important for the Pekuakamiulnuatsh.  It came, notably, from the skin of moose or caribou, and was used in the making of clothes and accessories.

Once the animal is killed it is cut up entirely, on site.  The skin is carefully removed.  Once this delicate operation is complete, all of the hair is removed.  Formerly the Pekuakamiulnuatsh used a well-sharpened stone knife for cutting the hair as close as possible to the skin.

On the other side of the skin, one must remove every particle of flesh or fat so that the skin is free from all body fat.  The skin was then spread out on a wooden frame to which it is attached for a period of drying.  Once the skin is scraped and the hair removed, the Pekuakamiulnuatsh can smoke it so as to make it more supple and thicker.