This paper aims at shedding light on how design is managed within the firm and its implications in terms of firm\u2019s strategy. We decided to focus our research on Italian Small and Medium firms (SMEs), with a special interest on those coming from Italian Industrial Districts. Italian firms heavily invested in design for sustaining innovation and competitiveness in the global markets. The paper wants to contribute to the previous literature adding a more in depth analysis of design through a quantitative approach. To this end, we have analyzed the data collected by TeDIS survey that for over a decade has studied the evolution of Italian small and medium-sized enterprises. The results highlight three particularly significant issues: a) SME...