Combatting eutrophication is currently a major challenge for policy makers in the Baltic Sea region, and it is likely to remain so in the decades to come. Although total nutrient loads to the Baltic Sea have recently declined, the gap between current loadings and those required to ensure the desired status is still substantial (Reusch et al. 2018). This Special Issue is dedicated to research that helps inform how the eutrophication challenge might best be addressed by improving our understanding of technological constraints, societal drivers of change, land uses, environmental policies, and innovative governance with stakeholder involvement. These issues are important for the current generation and those to come and are issues we must address in order to succeed in reducing nutrient loads to the desired levels to gradually achieve the desired good environmental status of the Baltic Sea.