Field evaluation of six grain storage technologies under hot and arid conditions (32–42 °C; rainfall < 450 mm/year) in two locations in Zimbabwe were conducted over two storage seasons. The treatments included three hermetic technologies (Purdue Improved Crop Storage bags, GrainPro Super Grainbags, metal silos); three synthetic pesticide-based treatments; and an untreated control, all using threshed sorghum grain. Sampling was at eight-week intervals for 32 weeks. Highly significant differences (p < 0.01) occurred between hermetic and non-hermetic treatments regarding grain damage, weight loss, insect pest populations, and grain moisture content; with the hermetic containers exhibiting superior grain protection. Weight losses were low (< 3%) in hermetic treatments compared to pesticide-based treatments (3.7 to 14.2%). Tribolium castaneum developed in metal silos, deltamethrin-incorporated polypropylene bags and a pesticide treatment containing deltamethrin 0.13% and fenitrothion 1% while Sitotroga cerealella developed in a pesticide treatment containing pirimiphos-methyl 0.16% + thiamethoxam 0.036%. Mechanisms of survival and development of these pests in the tested treatments and under similar climatic conditions need further elucidation. These hermetic technologies can be successfully used by smallholder farmers in developing countries as alternatives to synthetic pesticides for protecting stored-sorghum grain under hot and arid climatic conditions to attain household food security. To our knowledge, this is the first published study on modern hermetic storage of sorghum grain under typical smallholder storage conditions and involving stakeholders.