Climate adaptation has become a pressing issue. Yet little attention has been paid to the consequences of adaptation policies and practices for sustainability. Recognition that not every adaptation to climate change is a good one has drawn attention to the need for sustainable adaptation strategies and measures that contribute to social justice and environmental integrity. This article presents four normative principles to guide responses to climate change and illustrates the significance of the ‘sustainable adaptation’ concept through case studies from diverse contexts. It argues that fundamental societal transformations are required in order to achieve sustainable development pathways and avoid adaptation funding going into efforts that exacerbate vulnerability and contribute to rising emissions.