Eric, we have some EXTREMELY creative people here who create artistic images. I haven't ever figured out the ratio, but there are others who work primarily with photographic images.
I don't fall into the "creative" category. And I ain't a very good photographer, either. I use Elements mainly for restoration and retouching of old photographs, although I also have a digital camera. I'm the "snapshot" kind of picher taker. Others are extremely talented photographers, including a couple of pros.
Bottom line: All kinds of people do all kinds of different things with Elements. :)