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This article aims to present, adapt, and propose the use of the Balanced Scorecard (BSC) as a tool to support strategic management for sustainable cities. To achieve this goal, publications and 27 sustainable cities projects were also consulted, through project reports and programs from the cities themselves on the topic were consulted. A text mining analysis was applied to the results obtained in this literature review to find the main factors related to sustainable cities. To evaluate the findings of this first stage, consultations with specialists were carried out, specifically to assess the main factors. Based on the previous steps, and based on the original BSC, an adaptation of the tool was proposed, where its structure was changed to meet the needs of the strategic management of sustainable cities. It was concluded that creating a sustainable city requires understanding the difficulties faced by urban center managers with the implementation and management of institutional sustainable development practices. The BSC for sustainable cities can assist as a viable management strategic tool to more efficient use of resources in order to develop sustainable cities.