Environmental epidemiology encompasses a wide array of topics related to the study and evaluation of the environmental determinants of diseases in human populations. Environmental exposures include pollutant substances, such as asbestos, lead, and fine particulate matter, and environmental stressors such as heat and noise. This article provides examples of the different study designs used in environmental epidemiology: descriptive clustering of observational data, analyses of large administrative cohorts, case–control designs, cohort studies, and environmental intervention trials. We provide an overview of approaches to exposure assessment in environmental health studies and the role of measurement error. Throughout, we discuss challenges in identifying causal relationships between environmental exposures and health outcomes.