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The European Network of Living Labs has been established as one platform for collaborative and co-creative innovation, where users are involved in and contribute to the innovation process. However, what are current practices regarding user-driven open innovation? A review on how existing Living Labs in Europe have implemented the user as co-creator approach across the different stages of product and service innovation showed an emphasis on the Lab part, i.e., a predominant use of traditional methods, but less so on the Living part, i.e., methods of participation and co-creation. In this article, we illustrate how current methods stressing participation and co-creation can be deployed to strengthen current Living lab practices. We conclude with a discussion on the results and challenges to practice co-creation in practice.