This chapter discusses findings stemming from more than twenty case studies which analysed how spatial justice is achieved in practice across Europe. We identify and discuss generic types of promoters and inhibitors that became evident across these local and regional case studies and set these in context with the achieved outcomes. More specifically, we distil the factors that enhance or limit local abilities to articulate needs and realise concrete outcomes as well as local capacities for exploiting the opportunities given by the action and the eventually induced policy changes across places and time. Drawing upon a further analysis of five cases, we then test the hypothesis in how far ‘appropriate and fair’ procedures and mechanisms to ensure participation and accountability are key for a fair (or better) distribution of resources and opportunities. In conclusion, we discuss from a European perspective policy failures, lessons and prospects in approaching spatial justice in practice.