This paper outlines the current steel design climate and describes some recent and unusual designs using structural steel or composite steel and concrete which have been carried out in Hong Kong and the East Asia region. Composite structural systems for very tall buildings are outlined. A case study of concept designs for one of these is presented. Two further case studies are presented: a refurbishment project where the use of steel and innovative strengthening techniques allowed an additional five stories to be built on an existing reinforced concrete frame and a monumental sculpture.