While sustainable design practice is working to reduce the ecological impacts of development, many of the earth’s already damaged life support systems require repair and regeneration. Regenerative design theory embraces this challenge using an ecological worldview that recognizes all life as intertwined and interdependent to deliver restorative outcomes that heal. Central to regenerative design theory is the mutually beneficial and coevolving ‘stewardship’ relationship between community and place, the success of which requires local ecological knowledge. However, there is a lack of understanding about how—within the design process—practitioners are integrating ‘innate knowledge’ of place held by local people. This rapid practice review sought to collate and evaluate current ‘regenerative design practice’ methods towards ensuring good practice in the integration of place-based ecological knowledge. A comprehensive online search retrieved 345 related articles from the grey literature, academic book chapters, and government reports, from which 83 articles were analyzed. The authors conclude that regenerative design practice is emergent, with the design practice of including community knowledge of ecological systems of place remaining ad hoc, highly variable, and champion-based. The findings have immediate implications for regenerative design practitioners, researchers, and developers, documenting the state of progress in methods that explore innate ecological knowledge and foster co-evolving ecological stewardship.