The main distinction between creamy German cucumber salad and German cucumber salad with vinegar lies in their dressings. Creamy German cucumber salad features a rich and smooth dressing typically made with sour cream or yogurt. In contrast, German cucumber salad with vinegar incorporates a tangy and zesty dressing made with vinegar, oil, sugar, and seasonings, delivering a refreshing taste. Both variations use cucumber slices and may include herbs like dill, but the choice between them depends on personal preference for creamy richness or a more tangy, vinegar-based profile.