In the context of climate change, future-oriented thinking is more important than ever before. While the histories of the Nordic and Baltic regions differ, their future in terms of bio-based economies, value chains and caring for biodiversity is the same. Therefore, joint exercises in imagining a shared regional future are of the utmost importance in increasing the wider Nordic and Baltic region’s level of integration. This research paper uses megatrends as a way to reflect on the future of food in the Nordic-Baltic region. Here, futures thinking is understood as an informed reflection on the major changes that will occur in the coming decades in all areas of society. Eight specific megatrends influencing and influenced by Nordic-Baltic food systems are developed and discussed in depth here.