Poor mechanical strength and creep resistance limit the orthopedic application of biodegradable Zinc (Zn). In present work, cerium (Ce) was alloyed with Zn using laser additive manufacturing technique. As one kind of rare earth element, Ce possessed high surface activity, which effectively interrupted the grain growth and caused the formation of stable intermetallics, thus contributing to grain refinement strengthening and precipitate strengthening. More significantly, Ce alloying activated more pyramidal slip by means of reducing the critical resolved shear stress during plastic deformation, and resultantly formed the sessile dislocations, which caused the accumulated strain hardening and improved the creep resistance. As a result, Zn-Ce alloy exhibited a considerably improved ultimate tensile strength of 247.4 ± 7.2 MPa, and a reduced creep rate of 1.68 × 10−7 s−1. Moreover, it exhibited strong antibacterial activity, as well as favorable cytocompatibility and hemocompatibility. All these results demonstrated the great potential of Zn-Ce alloy as a candidate for bone repair application.