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This systematic review examines how creativity and giftedness have been jointly conceptualized in gifted education research from 2005–2024. Analyzing 344 peer-reviewed articles across eight journals, we identified 18 recurring themes through qualitative coding of 13 core articles and applied these themes to a broader set of 120 studies explicitly linking creativity and giftedness. Results reveal a consistent conceptual emphasis on creativity in theoretical work but diminished integration in applied contexts such as identification, instruction, and policy. Our findings highlight a disconnect between foundational models and educational practice, suggesting the need for more intentional integration of creativity into gifted education systems. This study contributes a thematic framework to guide future research, programming, and policy in the field.