The purpose of this chapter is to chart how various forms of design practice interface with Live Visual performance (LVP). This will be discussed in terms of how design works to support the production of LVP, often bringing together multiple design disciplines. We will also explore how design can assist LVP artists in managing their creative identity, reaching desired audiences and selling their work in the contemporary market. The chapter will also consider how LVP practices, core methods and technologies are also conversely influencing design practice. The examples and insights shared in this chapter are offered as illustrations of the richness of circumstances that finds design and LVP intersecting in contemporary culture rather than an exhaustive survey. The chapter concludes by reflecting on future opportunities and applications of LVP and design.