The western corn rootworm (WCR) (Diabrotica virgifera virgifera LeConte; Chrysomelidae) is one of the most significant maize pests in Europe, with farmers spending a substantial amount (approximately 140 EUR) on its control. In the context of climate change, WCRs could pose an even greater threat to EU maize production, particularly as the European Union continues to withdraw an increasing number of effective yet environmentally harmful active agents. Biological control methods have now emerged to the forefront in creating sustainable agriculture. In this review, we carried out an extensive literature analysis on methods for forecasting WCRs and evaluated the practical applicability of the latest non-chemical control methods targeting its larvae. Effective forecasting is essential for successful pest management, enabling informed planning and the selection of the most suitable control methods. Several traditional predicting techniques remain in use today, but recent advancements have introduced modern electronic forecasting units combined with sensor-equipped pheromone and colour traps, as well as thermal sum calculations. Research has demonstrated that crop rotation is one of the most effective methods for controlling WCR larvae. Biological agents, such as entomopathogenic fungi (Beauveria bossiana and Mettarrhyzum anasoplia), entomopathogenic nematodes (Heterorhabditis bacteriophora), and botanical insecticides such as azadirachtin can significantly reduce larval populations and root damage, thereby maintaining infestation levels below the economic threshold. Genetically modified maize plants that produce specific toxins, along with conventional breeding efforts to increase root system regeneration, are also promising tools for the sustainable management of this pest. This review summarizes the solutions for prediction of western corn rootworm infestations and non-chemical control of its larvae. Accurate forecasting methods provide a clear picture of infestation levels in a given area, enabling precisely targeted control measures. In all cases, the control should be directed primarily against the larvae, thereby reducing root damage and reducing the size of the emerging imago population. This review demonstrates that biological control methods targeting larvae can be as effective as pesticides, supporting sustainable pest management.