This study analyzes 40 construction projects to compare the effectiveness of the traditional design-bid-build (D/B/B) project delivery method and the alternative design-build (D/B) method. The study finds that D/B provided timesaving benefits but the positive effects on cost changes were not conclusive. Statistical analysis showed that D/B/B projects experienced around 6.75% change in cost on average, while D/B projects saw around 11.66% change in cost on average. However, the impact of a contractor's project management expertise and experience may have a greater influence on project performance than the choice of delivery method alone.