Adam Larsen has designed video projections for over 200 productions in Theatre, Dance, Symphony and Opera. Projects have ranged from intimate to extravagant and have appeared both on Broadway and in many of the major venues across the country. Adam Larsen’s multifaceted work has led to collaborations with leading voices in Symphony and Opera including including twenty-five projects with James Darrah, fifteen projects with Michael Tilson Thomas, three with John Adams, as well as projects with Joni Mitchell, Janelle Monae, Esperanza Spalding, Louis Langrée, Christopher Rountree, Missy Mazzoli, and Ellen Reid.

Recent work includes the direction and design for a semi-staged production of Bartók's Bluebeard's Castle at the Houston Symphony, and projections for the world premiere of David Lang's Prisoner of the State at the New York Philharmonic.

Other designs include Hal Prince’s LoveMusik on Broadway; Missy Mazzoli’s Breaking The Waves at Opera Philadelphia and the Prototype Festival; Lee Breuer’s The Gospel at Colonus at the Athens, Edinburgh, and Spoleto festivals; Esperanza Spalding's 12 Little Spells national tour; Watermill at the BAM Next Wave Festival; Haruki Murakami’s The Wind-Up Bird Chronicle at the Singapore and Edinburgh festivals; Janáček’s From the House of the Dead at Canadian Opera; Bernstein’s Mass at the Los Angeles Philharmonic and Lincoln Center; Britten’s Peter Grimes, Bernstein’s On the Town, Mussorgsky’s Boris Godunov, as well as all five seasons of the SoundBox series at San Francisco Symphony; The Pelleas Project at the Cincinnati Symphony; Offenbach’s The Tales of Hoffmann at Hawaii Opera Theatre; Adams’s A Flowering Tree and Handel’s Agrippina at Opera Omaha; Foss’s Phorion with New World Symphony; and Mascagni’s Iris at Bard Summerscape.

In addition, Adam Larsen has directed two feature length documentaries about disability. Mr. Larsen's first, Neurotypical, about autism from the perspective of autistics, premiered on the the PBS series P.O.V and his second, Undersung, about caregivers of severely disabled family members, is available on Amazon.