This article reviews how Greece is implementing sustainable urban development (SUD) strategies in 2014-20 as a part of ERDF Regulation Article 7 requirements, through the use of Integrated Territorial Investments (ITIs). The article provides an overview of the current status of these instruments in Greece and how they are being implemented. The specific case of Patras is used to provide a detailed example at local level of the operationalisation of SUD and ITI instruments, along with policy recommendations gathered from implementation experience so far.