Within the past decade, sustainability-related organizational change has become a topical issue for management scholars. The realignment of organizational structures is central to this transition, as they define accountability for and create long-term commitment to sustainability. However, despite having attracted substantial attention, a wide array of disparate approaches to organizational structures, their evolution and effects exists in the sustainability literature, resulting in an incoherent and fragmented body of research. To address this issue, we conduct an integrative review of 182 articles on organizational structures for sustainability. We present our results as a typology of four research approaches to organizational structures in the sustainability literature (sustainability structures as formal roles, roles in action, formal arrangements, and social accomplishments). Then, we redirect future research to capture the full range of formal sustainability designs, the heterogeneity of structural change ‘journeys’ and their protagonists, and sustainability performance effects of organizational structures in context. Our review furthermore highlights the renewed relevance of organizational structures in management and organization research over and above an engagement with organizational sustainability.