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The purpose of this paper is to examine the impact on sustainability of fashion production and consumption in order to discuss what the main lever is to reduce the negative impact. The research methodology applied is a literature review examining academic references. Key findings suggest that fashion production and consumption have a single comparable impact on sustainability. Moreover, as the fashion production follows the demand, the consumer steers the production in a certain direction. Therefore, consumers take over responsibility and need to be informed. To reach a long-term change in the fashion industry, the consumer has to be the focus of the sustainable efforts. Most results in literature were conducted by qualitative research methods, so that further quantitative testing of the results is recommended. Furthermore, most surveys were conducted with young fashion consumers in the EU or UK which does not represent the fashion consumer in general.