This chapter explains the technology behind district heating and cooling, which has the potential to be used throughout the world, and examines how it can be more widely deployed in North America. It explores the different approaches to district energy employed in Copenhagen, London, and Vancouver. It then examines the ice-cooled system in Austin, Texas, and Toronto’s deep-lake cooling. The cases illustrate different regulatory barriers, funding and ownership models (municipal vs. private utilities), and technologies. It is shown that district energy, at its best, is integrated with land use, transportation, community development, and energy planning. The chapter concludes with a discussion of the policy needed at the regional, national, and local levels for broader implementation of both technologies.