Tokamak plasmas with strong negative triangularity (NT) shaping typically exhibit fundamentally different edge behavior than conventional L-mode or H-mode plasmas. On DIII-D, every plasma with sufficiently negative triangularity () is found to be inherently free of edge localized modes (ELMs), even at injected powers well above the predicted L-H power threshold. It is also possible to access an ELM-free state at weaker average triangularities, provided that at least one of the two x-points is still sufficiently negative. Access to the ELM-free NT scenario is found to coincide with the closure of the second stability region for infinite-n ballooning modes, suggesting that ballooning stability may play a role in limiting the accessible pressure gradient in NT plasmas. Despite this, NT plasmas are able to support small pedestals and are typically characterized by an enhancement of edge pressure gradients beyond those found in traditional L-mode plasmas. Furthermore, the pressure gradient inside of this small pedestal is unusually steep, allowing access to high core performance that is competitive with other ELM-free regimes previously achieved on DIII-D. Since ELM-free operation in NT is linked directly to the magnetic geometry, NT fusion pilot plants are predicted to maintain advantageous edge conditions even in burning plasma regimes, potentially eliminating reactor core-integration issues caused by ELMs.