Nature is based on complex self-assembling systems that span from the nano-to the macroscale. We can already start to design biomimetic systems with properties that have not evolved in nature, based on designed molecular interactions and regulation of biological systems. Synthetic biology is based on the principle of modularity: repurposing diverse building modules to design new types of molecular and cellular assemblies. While we are currently able to use techniques from synthetic biology to design self-assembling molecules and re-engineer functional cells, we still need to use guided assembly to construct biological assemblies at the macroscale. We review the recent strategies to design biological systems ranging from molecular assemblies based on self-assembly of (poly)peptides to the guided assembly of patterned bacteria, spanning seven orders of magnitude. molecular scale, we can already design or guide interactions between individual molecules, although self-assembly approaches typically produce results that are far superior. Self-assembly extends up to the macroscopic scale in natural biological systems, although we currently lack full understanding of the principles that define the structure and function of individual cells. The deficits in our knowledge are even greater for cellular differentiation and formation of multicellular tissues, organs, and whole organisms. Formation of multicellular systems is typically slow and may take days to years for the complete development of the organism. The structure of multicellular organisms is to a large degree hardwired within the genetic program, although external forces and epigenetic elements can have important effects on the shape and properties of the mature organism. The principles of self-assembly of complex multicellular organisms remain to a large degree unknown and will probably take several decades to fully understand and be applied to fundamentally redesigning the self-assembly of multicellular organisms. While self-assembly is highly desirable for engineered biological systems, guided assembly aimed at imposing a desired arrangement of molecules and cells can be used as well to direct the formation of biological systems. While nanostructures are too small to be produced efficiently by any other method apart from self-assembly, guided assembly based on coupling of selected physiochemical signals or the use of external fields or conditions can be applied to generate patterns that guide the ordering of cells. Although a rich diversity of complex multicellular organisms exists in nature, self-assembly can likely only be used to guide a limited number of structures. Additionally, the process of formation of a multicellular organism is very complex and difficult to engineer. Patterning by external inputs, such as light, or acoustic or magnetic fields, can help compensate for our current inability to guide the self-assembly of multicellular organisms, enabling the formation of shapes that may be difficult if not impossible to reach by self-assembly and speed...