Design practice is intrinsically about change and changing the world. Over the past two decades several new areas have emerged within design, such as service design, design thinking, speculative design, transition design and social design. What constitutes a desirable design outcome has also evolved. New design processes exist to enable those outcomes, and broader, more diverse communities often contribute to collective change making. Despite this, we still have a fragmented understanding of how to use design to create change, with a limited number of frameworks to guide its implementation in public and private settings. This article provides a brief overview of the recent developments in and through design that relate to how and why the usage of design has changed and how we design change. I look at the products, processes, and people related to change in design, and how design practice has fostered new roles in the field. In depth interviews with expert designers, and their insights about these roles, have been used to open up the discussion of what questions designers are aiming to define and answer, with whom, and how.