Global progress towards food security and nutrition has been slow in many places and even reversing in others. Against the background of changes in population, income, technology, climate, and other drivers, the pressures on food systems are daunting. When designing and rolling out future interventions towards these goals it is of vital importance to utilize foresight knowledge to anticipate, shape, and prepare for alternative possible futures. Overcoming current and emerging challenges but also seizing opportunities as they present themselves requires continued efforts to provide robust analysis to inform decision making. Here we collated the latest insights from foresight studies around three central aspects within the food system. First, consumer demand and the changes this is undergoing is a key aspect shaping the food system itself as well as nutritional and environmental outcomes. Second, distributional inequalities and trade-offs within the food system have further been identified as key challenges to tackling adverse health outcomes of the current food system. And third, amplified by the COVID crisis, enhancing the resilience of the food system that is increasingly under threat from multiple risks has risen to the top of the agenda.