Sustainable agrifood systems are critical to averting climate-driven social and ecological disasters, overcoming the growth paradigm, and redefining the interactions of humanity and nature in the twenty-first century. This Perspective describes an agenda and examples for comprehensive agrifood system redesign according to principles of sufficiency, regeneration, distribution, commons, and care. This redesign should be supported by coordinated education and research efforts that do not simply replicate dominant discourses on food system sustainability but point towards a post-growth world in which agroecological life processes support healthy communities rather than serving as inputs for the relentless pursuit of economic growth.