Elasto-inertial focusing in viscoelastic fluids has attracted increasing interest in recent years due to its potential applications in particle counting and sorting. However, current investigations of the elasto-inertial focusing mechanisms have mainly been focused on simple straight channels with little attention being paid to curved channels. Herein, we experimentally explore the elasto-inertial focusing behaviors of particles in spiral microfluidic channels over a wide range of flow rates, channel aspect ratios and channel radii. As compared with those observed in inertial microfluidics without viscoelasticity, the particle focusing pattern in our spiral elasto-inertial microfluidic system appears in a more interesting manner due to the complex coupling of elasticity, inertia and Dean flow effects. On the basis of the obtained data, the underlying mechanics and force competition behind the focusing behaviors are analyzed. In addition, for the first time, we propose a six-stage process model illustrating the particle focusing process in Dean-coupled elasto-inertial flows with increasing flow rate. It is interesting to find that the Dean drag force makes a significant contribution to particle focusing only at high flow rates and finally shifts the particle focusing positions into the outer channel region. Through carefully balancing the forces acting on particles, single-line 3D focusing can also be achieved at a throughput level of ∼100 μl min(-1), which is much higher than those in most existing studies. We envision that this improved understanding of the particle focusing mechanisms would provide helpful insights into the design and operation of spiral elasto-inertial microfluidic systems.