This study aimed to analyze the creative curriculum and instructional design in Integrated Activities Learning Area of elementary school teachers who received the GreaTeach Award from 2005 to 2007 in Taiwan. The researcher selected four cases which have won the award for super excellence and excellence of GreaTeach Award 2005-2007 Integrated Activities Learning Area in elementary schools in Kaohsiung City as subjects of this study. Documentary analysis and interview method were adopted in this study. The major findings were as follows: (1) The four thematic backgrounds of creative teaching designs come from life issues. (2) Curriculum designs employ the models of thematic integrated curriculum and spiral curriculum. (3) Subject matters come from the publications and websites resources of governmental and private sectors. (4) Teaching methods include case teaching, discussion method, cooperative learning, experiential learning, critical thinking teaching, group dynamics, problem-solving learning and so forth. (5) Assessments incorporate performance assessment, oral assessment, worksheet assessment and so forth. (6) Difficulties encountered in the implementation include the shortage of time for reflection, the understanding of professional terminology, language communication, motivation of participation, the management of conflicts among students across different classes, the assessment of practicing in real-life situations and so forth. According to the findings, some suggestions were proposed to help teachers improve the curriculum and instructional design of Integrated Activities Learning Area in the future.