This article is the second part of the series of the comprehensive review which is related to the outrigger and belt-truss system design for tall buildings. In this part, by presenting and analyzing as much relevant excellent resources as possible, a guideline for optimum topology and size design of the outrigger system is provided. This guideline will give an explanation and description for the used theories, assumptions, concepts, and methods in the reviewed articles for optimum topology and size design. Finally, this part ended up with a summary for the findings of the reviewed studies, which is useful to understand how different parameters influence the optimum topology and size design of a tall building with outrigger and belt-truss system.