Items may be packaged for shipping or storage using additive manufacturing techniques, also known as three dimensional (3-D) printing. Packages made by such processes may be referred to as 3-D printed packages. The 3-D printed packages may be customized based on one or more items contained in the package, a recipient of the package, a sender of the package, and/or a destination location of the package. The customizations may include two-dimensional and/or three-dimensional customizations on an interior and/or exterior of the 3-D printed packages.