The spatial configuration of urban areas impacts environmental sustainability, social equity, and economic and social resilience. This study examines the intricate relationship between spatial arrangements and the planning and design of BREEAM Outstanding projects in London, UK. It analyses the relationship between urban morphology and the effectiveness of sustainable building practices and contributes to the broader objectives of urban sustainability. This research focuses on London, UK—a city renowned for its complex urban fabric and architectural heterogeneity—using a multi-case study approach to dissect the elements that facilitate the development of BREEAM Outstanding projects. This study analyses key spatial characteristics such as land use diversity, subway network analysis, and street network analysis using betweenness centrality of edges and node degrees. These factors are considered due to their impact on energy performance, carbon emissions, and social sustainability metrics. Furthermore, this research explores how urban design strategies, such as enhanced walkability and mixed-use development, reinforce the success of BREEAM-certified Outstanding-rated projects. The findings of this investigation reveal a correlation between urban environments and the development of BREEAM Outstanding-rated projects in London. By aligning the spatial organisation of urban form with BREEAM principles, urban planners, policymakers, and architects can facilitate the creation of cities that are environmentally sustainable, socially inclusive, and economically prosperous. The research offers substantive insights and actionable recommendations for future urban development, advocating for a comprehensive and interdisciplinary approach to sustainable city planning and design. The spatial arrangement of urban form impacts the planning and design of BREEAM Outstanding projects. Findings from current and future research will be used to investigate the connections between spatial arrangement and various categories in BREEAM and how they can influence future sustainable urban environments to set a benchmark for sustainability for contributing to a more equitable urban future.