"Teisutis Makačinas describes his creative style as a combination of neoclassicism with Bartok's transformation of folk music. The intonations of Lithuanian folk music are important in many of Makačina's works, although the author avoids quoting melodies directly. All of Makačina's work is characterized by a linear beginning, polyphonic development of musical thought, clear structure and strict internal logic. In the work of the last decade, the influence of minimalism is also strengthening, manifested by the dominance of a few simple motifs, their repetition and variation. <…> Teisutis Makačinas has also created works for orchestra, chamber ensembles, vocals and choirs, music drama performances and movies. The composer writes a lot for the organ - his five sonatas for the organ stand out for their brevity and unique blend of traditional and modern elements. Lately, he has especially liked the sound of a string orchestra, because string instruments are the most "alive" for him and best respond to the efforts of the performer." - musicologist Eglė Gudžinskaitė.

Makačín's works for orchestra include a symphony for strings (1985), Sinfonia giocosa (1990), two symphonies (1994, Pacem relinquo vobis 1998), a concerto for trumpet and chamber orchestra (1991 ), concerto for clarinet and chamber orchestra (2005), symphony "in H" (2002), symphony concerto for trumpet, flugelhorn and large wind orchestra (2004), cantatas, including "Pirčiupius Pelenai" (1960), "Vilnius" (1973), "Poem of the Sun" (1975), chamber instrumental works, including a quintet for 5 accordions (1990), "Echoes of Old Vilnius" for 3 horns (1993 ), "Reflection" for string quartet (1999), "Arcade" for accordion and string quartet (2008), Suite 3 for piano (1963, 1968, "Shepherd's Games" 1981), " Notebook" for piano, 5 haikus for voice and chamber ensemble (both 2003), works for organ, including 5 sonatas (1963, 1983, 1987, 1990, 1993), "Lithuanian Notebook "(1989), "Armenian Notebook" (1989), "Old Notebook" (1995), vocal cycles ("Autumn Watercolors" 1962), songs, choirs, drama, performances, film music . Instrumented the opera "Birutė" by Miko Petrauskas (1978), works by Juozs Gruodis and Maurice Ravel.

He is best known to the general public as the author of extremely popular pop songs ("The wind told me", "Berniukai", "Come back before it's too late", "Pašauki" and many others). Teisutis Makačina's pop songs were performed by Tomas Balčytis, Liutauras Čeprackas, Vladas Daugintis , Aleksas Lemanas, Danutė Neimontaitė, Stasys Povilaitis and others.