Curriculum is at the heart of education. It has been said that a broad and balanced physical education curriculum can contribute to young people developing socially, cognitively, affectively, and physically. As such, in this article, we draw on Antonio Gramsci's ideas of culture, power, and ideology to explore the physical education curriculum in alternative provision schools in England. We did this by generating qualitative data using semi-structured interviews with 13 physical education practitioners working in 13 different alternative provision schools. Interviews were audio recorded, and audio recordings were transcribed verbatim, before being subjected to reflexive thematic analysis. The themes generated through these analytical processes were (1) Physical education curriculum should be tailored to the needs and preferences of pupils; (2) The National Curriculum, national qualifications, assessment arrangements and Ofsted inspection expectations influence curriculum decisions; and (3) Group sizes influence the physical education curriculum. We end this article by encouraging physical education and/or curriculum scholars to learn more about alternative provision settings because, at present, there is a dearth of research-informed knowledge about them despite them becoming a much more prominent feature of the education landscape in England.