Sikkim is primarily known for:

Sikkim is primarily known for ecotourism and adventure activities. It is a beautiful state in the Himalayas with a rich culture and history. There are many opportunities for hiking, trekking, camping, and other outdoor activities. Sikkim is also home to a number of monasteries and temples, which are popular tourist destinations.

Here is a brief description of each option:

• Ecotourism and adventure activities: Sikkim is a great place for ecotourism and adventure activities. There are many opportunities for hiking, trekking, camping, and other outdoor activities. The state is also home to a number of national parks and wildlife sanctuaries, which are popular tourist destinations.
• Beach holidays: Sikkim is not a popular destination for beach holidays. The state is located in the Himalayas, and there are no beaches.
• Medical tourism: Sikkim is not a popular destination for medical tourism. The state does not have a large number of hospitals or clinics, and the quality of medical care is not as good as in other countries.
• Mass tourism with large resorts: Sikkim is not a popular destination for mass tourism with large resorts. The state is relatively small and has a limited number of hotels and resorts.

I hope this information is helpful. Please let me know if you have any other questions.