Social entrepreneurship is a growing trend, reflecting a shift in contemporary policy towards entrepreneurship as viable employment option for people with intellectual disability (ID). Entrepreneurship is intended to promote autonomy, reduce dependence on entitlement-based services, and reduce employment disparities while stimulating business and job creation. It is not well understood what this means for people with ID involved in social entrepreneurship. Dyadic interviews were conducted with people with ID participating in social entrepreneurship (n = 7) as well as their key support person (n = 7). Interviews focused on understanding outcomes in social entrepreneurship for people with ID, or “what happens when they act.” In particular, this article explores perceptions of profit/self-sufficiency, growth, and social innovation to challenge how outcomes have been traditionally assessed.