The environmental and nutritional attributes of different food types can vary greatly. Consequently, diets composed of different sets of food types, will differ in their environmental footprints, and in their nutritional quality; so affecting human health. When such differences are multiplied by many millions of people, the overall effect is considerable. Human diets are, therefore, an important point of interconnection in food systems via which change is driven – for better or worse – by shifts how people consume. At least in theory, diets might provide a means by which to achieve both health and environmental goals simultaneously. But the reality is not so simple. Understanding these complexities, helps provide a window on both the opportunities and difficulties of taking a food systems approach, and on the important role that diets play.