Effectively addressing wicked problems requires collaborative, embedded action. But, in many cases, scholarly commitments, social justice, privilege, and precarity collide in ways that make it difficult for community-engaged scholars to ethically navigate competing duties. This article presents our efforts to support reciprocal community engagement in addressing cancer-obesity comorbidity and risk coincidence in underserved communities. Partnering with community healthcare professionals, we conducted an adapted Systems Ethnography/Qualitative Modeling (SEQM) study. SEQM offers an alternative ethical framework for community-engaged research, one that supports reciprocity through enabling participant-centered community self-definition, goal setting, and solution identification.