ABSTRACT Sustainable concrete construction can be achieved by combining optimised structural designs with low-carbon concrete (LCC). This paper demonstrates the importance of sustainable construction by analysing various design options for a typical suspended slab system in high-rise buildings. Pearson (2020) noted that concrete slabs make up approximately 47% of the embodied carbon (EC) in commercial and residential structures, with slabs alone comprising around 70% of the total concrete volume in residential buildings. This presents an opportunity to reduce EC through structural design choices. The analysis in this paper involved designing a post-tensioned (PT) flat slab system for a residential development in Sydney and then re-designing it as a reinforced concrete (RC) slab by adjusting slab thickness and reinforcement system. A key finding was that transitioning from an RC to a PT slab resulted in a 44% total EC reduction when using a 100% General Purpose Cement (GPC) blend. Further EC reductions can be achieved by implementing LCC. The chosen LCC blend for this study is 23% Fly Ash, 23% Ground Granulated Blast Furnace Slag, and 54% Cement (FA/GGBFS/GPC), demonstrating a 36% reduction in EC compared to a 100% GPC blend while maintaining acceptable workability, constructability, mechanical, and durability properties.