Large dynamical fluctuations - atypical realizations of the dynamics sustained over long periods of time - can play a fundamental role in determining the properties of collective behavior of both classical and quantum non-equilibrium systems. Rare dynamical fluctuations, however, occur with a probability that often decays exponentially in their time extent, thus making them difficult to be directly observed and exploited in experiments. Here, using methods from dynamical large deviations, we explain how rare dynamics of a given (Markovian) open quantum system can always be obtained from the typical realizations of an alternative (also Markovian) system. This equivalence can be used to engineer and control open quantum systems with a desired dynamical response "on demand". We illustrate these ideas by studying the photon-emission behaviour of a three-qubit system which displays a sharp dynamical crossover between active and inactive dynamical phases.