Current large-aperture cosmic microwave background (CMB) telescopes have nearly maximized the number of detectors that can be illuminated while maintaining diffraction-limited image quality. The polarization-sensitive detector arrays being deployed in these telescopes in the next few years will have roughly 10 4 detectors. Increasing the mapping speed of future instruments by at least an order of magnitude is important to enable precise probes of the inflationary paradigm in the first fraction of a second after the big bang and provide strong constraints on cosmological parameters. The CMB community has begun planning a next generation "Stage IV" CMB project that will be comprised of multiple telescopes with between 10 5 -10 6 detectors to pursue these goals. This paper introduces new crossed Dragone telescope and receiver optics designs that increase the usable diffraction-limited field-of-view, and therefore the mapping speed, by an order of magnitude compared to the upcoming generation of large-aperture instruments. Polarization systematics and engineering considerations are presented, including a preliminary receiver model to demonstrate that these designs will enable high efficiency illumination of > 10 5 detectors in a next generation CMB telescope. http://dx.doi.org/XXXXXX Recent measurements of the Cosmic Microwave Background (CMB) led to detections of several new cosmological signals, including gravitational lensing of the CMB, approximately masslimited galaxy cluster catalogs, and, most recently, the "B-mode" polarization [e.g. 1-4]. This rapid progress has been enabled by the development of large arrays of background-limited lowtemperature detectors. These detector arrays are typically designed to fill a large fraction of the diffraction-limited field-ofview (DLFOV) on each telescope. The upcoming generation of large-aperture (> 2 meter) CMB instruments includes: the Simons Array of three 2.5 meter telescopes [5], Advanced ACTPol on the 6 meter Atacama Cosmology Telescope [6], and SPT-3G on the 10 meter South Pole Telescope [7]. Each will nearly fill the DLFOV of these existing telescopes with roughly 10 4 detectors operating between 30 GHz -300 GHz.Beyond this coming generation of instruments, there is potential for substantial improvements in constraints on signals from inflationary gravity waves, neutrino properties, and other cosmological parameters if CMB measurements can be made with sufficient sensitivity and angular resolution [e.g., 8-10]. The CMB community has begun planning for a "Stage IV" CMB survey with between 10 5 -10 6 detectors to achieve these scientific goals, including a precise probe of the inflationary tensor-toscalar ratio, r < 0.001 [8]. Since current telescopes do not have sufficient throughput to illuminate > 10 5 detectors, it is important to develop designs for higher-throughput telescopes.We explore a new parameter space of CMB telescope designs that offer roughly 10× greater throughput than existing telescopes. In §1 we quantify the diffraction-limited throughput tradeof...