The lead-up to these Paralympics were met with concerns regarding Russia's recent military intervention in the nearby Crimean peninsula of Ukraine. The head of Ukraine's NPC stated that it would pull its athletes if the situation escalated, while the United Kingdom and United States chose not to send governmental delegations to the Games. The crisis ultimately had no impact on athlete participation, but members of the Ukrainian team did stage symbolic protests of the crisis during the Games (including most notably, all but the country's flagbearer sitting out of the opening ceremony's parade of nations).
With 80 medals, 30 of them being gold, the host country of Russia won the most medals during these Games, and set a record for the most medals won by a single country during a single Winter Paralympic Games. Additionally, Russian skier Roman Petushkov won the most individual gold medals in Winter Paralympic history, with six golds across skiing and biathlon events. However, following the Games, the IPC discovered evidence that Russia's performance had been aided by a wider state-sponsored doping program. This resulted in restrictions on the participation of Russian athletes during subsequent Paralympics.