Quality Management (QM) is currently facing a new landscape that makes the traditional emphasis on internal organizational excellence as well as many of the QM leadership control practices, increasingly insufficient. The purpose of this paper is to contribute to revitalizing and updating QM theory and practice for a living world by exploring an ecosystemic and regenerative approach. The paper presents initial results from a study of the phenomena of developing and improving together, across boundaries of organizations and actors, in two complex ecosystems. The results highlight four enablers and six wishes that could inform further exploration and future QM practice.