Bacterial multimodular polyketide synthases (PKSs) are giant enzymes that generate a wide range of therapeutically important but synthetically challenging natural products. These natural products have found widespread use as, e.g. antibiotics, anticancer therapeutics and antifungals. To combat rising antimicrobial resistance and produce these complex chemicals in more sustainable ways, engineering of the PKS architecture to diversify polyketide structures has been a longstanding goal. However, notwithstanding successes made with textbook, cis-acyltransferase (cis-AT) PKSs, tailoring such large assembly lines remains challenging. Unlike textbook PKSs, trans-AT PKSs feature an extraordinary diversity of PKS modules and commonly evolve to form hybrid PKSs. In this project, we analyzed amino acid coevolution to identify a common module site that yields functional engineered trans-AT PKSs. We have used this site to insert and delete diverse modules and create 22 engineered trans-AT PKSs from various pathways and in two bacterial producers. The high success rates of our engineering approach highlight the broader applicability to generate complex designer polyketides. As such, this project has achieved an important step towards sustainable production of complex designer polyketides with diverse potential applications in human health and agriculture.