This paper deals with multivariable pitch control design for wind turbines, including load reducing control objectives. Different design approaches, including collective and cyclic pitch, and robustness aspects are discussed. A control design with decoupled controllers for collective and cyclic pitch is worked out in detail, based on the norm minimization approach. The control design is verified by simulations with a full nonlinear model of the wind turbine, showing the potential of multivariable pitch control to actively increase damping of the first axial tower bending mode and to reduce 1p fluctuations in blade root bending moments. Multivariable control design provides a convenient way of including additional load reducing objectives into the pitch controller of wind turbines. Fatigue loading of certain components, as tower and blades, could be reduced significantly.