This chapter raises the significance of integration of cultural attributes in the urban planning process for sustainability of pilgrimage towns. It identifies the spatial connotations of cultural practices, processes and events to review synergies between culture and urban planning. Two Indian pilgrimage towns of Vrindavan and Haridwar with congruent cultural context but diverse urban setting have been examined. Eight significant diverse attributes of both case studies are discussed for examining linkages of cultural dimensions with urban planning, and sustainability of indigenous urbanism of Indian pilgrimage towns. Recent policy initiatives in India envision an increasing inclusion of cultural and heritage aspects in urban development, but are constrained by paucity of empirical spatial research on Indian pilgrimage towns.