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Design meetings with multidisciplinary stakeholders are instrumental for design projects. However, design teams face the challenges of synthetizing large amounts of information, often in a limited time, and with minimal common ground. We investigate these challenges through in-the-wild observations of six design meetings in three different projects, with professional design teams that follow a user-centered design methodology. We found that all the observed design meetings had a similar structure consisting of particular phases, in which design activities were organized around artefacts. These artefacts were used as input to disseminate and gather feedback of previous design outcomes, or as output to collect and process a variety of perspectives. From these findings, we synthetize practical guidelines to optimize artefact-based interactions during design meetings.