In Sweden athlete schools, where students are attending in terms of optimizing their athletic careers in correlation with their studies, are a widely spread phenomena over the country and the system is included within the ordinary school system. This study aims to examine how the subject Physical Education and Health (PEH) is taught at athlete schools in comparison to how it is taught in classes with ordinary upper secondary school students. This study is based on interviews with eight teachers from two different Swedish schools. The results show that teachers do adjust their teaching in order to achieve quality teaching to give the athletic students optimized possibilities to improve. The results show different teacher perspectives about what knowledge that is prioritized. Admittedly, the teachers confess having problems with whether they assess these students on their previous skills or if they actually learn new skills during their PEH. Hence, this study serves the purpose of revealing the importance of developing new and individualized strategies on how to form an optimized educational environment and quality teaching for those students.