Despite consensus on actions to improve nutrition globally, less is known about how to operationalize the right mix of actions—nutrition-specific and nutrition-sensitive—equitably, at scale, in different contexts. A new review by Transform Nutrition Scaling Up Impact on Nutrition: What Will It Take? of four case studies of large-scale nutrition programs with proven impact at scale highlights a need for greater coherence and consistency with regard to the “ends and the means” of scaling up as key to success, and sets out 9 critical elements to guide actions for scaling up impact on nutrition.