The complexity of construction processes often means interaction between various stakeholders, activities and tasks in order to deliver the expected outcomes. The intensity and dynamics of front-end design (FED) mean decision techniques and methods are important in supporting projects benefits delivery more importantly those based on utility of decision making. This paper explores a new utilitarian decision-making approach based on a systematic literature review of FED decision making. It presents the state of the art in design decision making concepts and analysis of tools over the last 10 years (2009-2019). From a total of 111 peer-reviewed journal papers, fifteen decision-making techniques are identified as dominant in design decision making, broadly grouped in four major categories as explanatory/rational, Multi-criteria decision-Making techniques (MCDM), Hybrid and Visual methods. The review finds that the most applied of the MCDM is Quality Function Deployment (QFD); while among the rational/explanatory techniques is set-based design (SBD). While there is limited application of Multi Attribute Utility Theory (MAUT) in decision making, the paper finds that the robust consistency and structured approach better captures the intricate dynamics of FED; including modelling of the subjectivity, interdependences and uncertainty in design discourse.