Introduction. Polyhydroxylated fullerenes, commonly referred to as fullerenols, are among the most promising carbon allotropes due to their hydrophilic nature, stability, and low toxicity. Natural Killer (NK) cells, are key components of the antiviral and antitumor immune response. However, they have been largely understudied as targets for fullerenol nanoparticles. The objective of this study was to assess the immunocompatibility of hydroxylated fullerenol C60(OH)22-24 with СD3-CD56+ NK cells from human peripheral blood, as well as to investigate the internalization of these nanoparticles into cells. Materials and methods. The studies were conducted on mononuclear cells from the peripheral blood of healthy donors (n=4). In the experiments, fullerenol (MST-WS60-Bio, fullerenol C60(OH)24, 99.99%, Modern Synthesis Technology, Latvia; cluster size approximately 130 nm) was used at concentrations of 200, 100, 50, 25, 12.5, 5, 2.5, 0.5, and 0.25 μg/mL. Wells without added nanoparticles served as controls. Cells were incubated in the presence of fullerenol for 24, 48, and 72 hours under conditions of 5% CO2 and 37°C. The viability of NK cells (CD3-CD56+) and the adhesion/internalization of fullerenol into cells were assessed using flow cytometry. Results. It was found that fullerenol nanoparticles at concentrations ranging from 0.25 to 200 μg/mL did not exhibit cytotoxicity towards NK cells during the observation periods of 24, 48, and 72 hours. Thus, no statistically significant decrease in the percentage and absolute number of live NK cells was detected in cultures with fullerenol over these time frames. The study also showed that NK cells did not demonstrate adhesion/internalization of fullerenol nanoparticles at low concentrations (0.25-50 μg/mL) during all observation periods. However, high concentrations of fullerenol were detected inside NK cells at 48 and 72 hours of observation. After 72 hours, approximately 20% of NK cells had adhered/internalized fullerenol at a concentration of 100 μg/mL, and about 50% had done so at a concentration of 200 μg/mL. Conclusion. Thus, for the first time, it was demonstrated that NK cells adhere/internalize fullerenol at high concentrations (100 and 200 μg/mL), and the percentage of fullerenol-positive cells increases with both longer cultivation duration and higher nanoparticle concentration. Fullerenol didn’t exhibit a cytotoxic effect on the studied cell subpopulation.