Reservoirs serve functional purposes such as irrigation and power generation. However, concerns are raised due to the alterations of the connected riverine ecosystems. Chironomidae (Diptera), a diverse aquatic macroinvertebrate group, are vital to the functioning of ecosystems and serve as water quality indicators. Their holometabolous development includes the pupal stage after four larval stages. The chironomid pupal skin (exuvia) is used in environmental assessments, where the Chironomid Pupal Exuvial Technique (CPET) is a recognized standard. The CPET method is adaptable to different freshwater environments and here was applied in the study of 28 man-made lakes in the Pannonian Lowlands and Dinaric Western Balkan Ecoregion in Croatia to obtain information on chironomid diversity and analyze the potential influence of environmental factors on the chironomid community. The lake surface was skimmed with an exuvial hand net (mesh size of 300 µm) along the lake edge with a transect length of 10 m in the area of accumulated debris of organic and inorganic matter. Individual exuviae were mounted in a Berlese mounting medium and identified by morphological characteristics to the lowest taxonomic level. During the study, 5698 chironomid pupal skins were collected, and 141 taxa (including 97 species) belonging to five subfamilies were identified. The tribe Tanytarsini comprised 40% of the identified taxa, with Paratanytarsus spp. being the most abundant. In the Dinaric ecoregion, Paratanytarsus bituberculatus dominated, while Microchironomus tener and the genus Cricotopus were the dominant taxa in the Pannonian ecoregion. Community structure in the Pannonian ecoregion was influenced by total organic carbon (TOC) and orthophosphates (PO43−), indicating higher anthropogenic pressure compared to the Dinaric ecoregion, where water conductivity influenced Chironomidae assemblages. The research has provided valuable and useful information on the chironomid diversity in man-made and highly altered water bodies, as some of the most vulnerable aquatic habitats to anthropogenic influence. The CPET method could be a useful tool for the ecological studies and bioassessment of water quality in Croatia.