A qualitative, collective case study explores grieving in the Muscogee Creek tribe. Data from interviews with 27 participants, all adult members of the tribe, reveal tendencies in patterns of grieving. Commonalities include (a) individual strength and certainty of recovery; (b) focus on giving to others in the family and coping as a family unit; and (c) support mainly received from family. Cultural factors of belief in nature’s balance, family, community, and Indian medicine influence the meaning Creeks associate with death, which, in turn, contributes to grieving patterns.