Abstract: reflection on our current approaches -especially in light of frugal innovation's potential for greater inclusivity and sustainability -and the development of new, systematic approaches that rely on scientific principles and pattern identification.In the first article, Mario Pansera from the University of Bristol in the United Kingdom calls on us to critically reflect on the existing body of literature on frugal innovation, which he argues has not yet delivered on its promise for two reasons.First, the literature's emphasis on the role of scarcity neglects the fact that "scarcity can be socially constructed to deny certain social sectors the access to resources essential for their flourishing".Second, the frugal innovation literature rarely even mentions the underlying causes of the problems it seeks to address, particularly poverty, which is a matter of social justice.He calls for a new wave of frugal innovation literature and practice that engages with the complex politics of poverty and resource allocation.In the second article, Anne-Christin Lehner, Christian Koldewey, and Jürgen Gausemeier describe their pattern-based approach to developing frugal innovations, which is based on their work at the Heinz Nixdorf Institute of the University of Paderborn, Germany.Their approach is based on a simple assumption: given that different contexts share similar challenges in the development of frugal innovations, we can expect to find similarities in the resulting solutions.The search for solution patterns lies at the heart of their systematic approach, which they describe and validate in this article based on the example of a telemedicine assistant system.Next, Hareem Arshad, Marija Radi , and Dubravko Radi from Leipzig University in Germany identify patterns among 50 frugal innovations in the healthcare sector.They classified various characteristics of each innovation, such as the country of origin, first launch market, type of innovator, type of innovation, type of care, and geographic diffusion.By examining the identified patterns and discussing the relationships between these variables, they provide a future outlook for the study and practice of frugal innovation in the healthcare sector.