This multiple case study examined two groups of elementary prospective teachers (n=12) completing distinct mathematics content courses. Data were collected via two belief surveys, one content knowledge assessment, and individual interviews. The findings revealed differences in specialized content knowledge and mathematical beliefs between the two groups upon completion of the teacher preparation program. Also, they characterized their experiences with knowing, learning, and teaching mathematics during the courses in dissimilar ways. The findings offer insights into course content, pedagogical approaches, and learning activities that prompted motivation, learning, and change. Notably, elementary prospective teachers understanding the applicability of the mathematics they are learning to their chosen career path is paramount.