Design for sustainability needs to apply a societal perspective. The purpose of this paper is to combine the concept of design fixation with higher levels of analysis. Design fixation is used to describe a blind adherence to known concepts during the design process. It is used mostly at the micro level of design with the focus on the activities of an individual designer or a group of designers. In this paper, design fixation gets conceptually lifted to the levels of the organisation and the institution. We ask how the understanding of design fixation helps to achieve higher resource efficiency. Examples of organisational and institutional design fixations are presented. A System Dynamics model is used to simulate the impacts of design fixation on resource use of a sociotechnical laundry systems. Applying this lens suggests that in order to solve societal design fixations, systemic parameters like infrastructure, business models, or policies need to be considered design parameters. The simulation results show that high-level design fixations can have significant impact on resource use.