General studies on technology and knowledge (T&K) transfer to developing countries have often adopted methods that yield inconsistent results. Traditional quantitative methods, alone, have limitations in their ability to account for complex interaction between variables. This article adopts configurational recipes, using fuzzy set qualitative comparative analysis (fsQCA) to supplement the analysis. This research carefully and systematically selects responses from experts and practitioners in the construction industry in Ghana. The results reveal two configurational recipes for high quality of T&K transfer: effective industry institutions, education effectiveness, and less congestion of firms; and joint presence of high government policy incentives, effective industry institutions, and education effectiveness. This study extends significantly the existing literature regarding T&K transfer in developing countries in general and in Sub-Saharan Africa (SSA) in particular.