In this qualitative comparative case study, we drew from institutional theory and cultural historical activity theory to explore how educators wrote, used, and conceptualized the role of Individualized Education Programs (IEPs) for students with specific learning disabilities within secondary inclusive settings. We found that students' IEPs were responding to institutional pressures to educate students within inclusive settings. However, the content of the students' IEPs offered limited guidance on the activity of providing students with special education supports and services. With this being said, the IEPs still played distinctive roles in each school's unique activity system for educating students within inclusive classrooms. Our findings illuminate a dynamic interaction between institutional pressures and the activity of providing students with a special education.