Sustainability is understood as a balanced integration of economic, ecological, and social aspects. Sustainable manufacturing can be considered one of the most important issues to address in the pursuit of sustainable development. The main purpose of the paper is to identify the most important directions of research to date and to indicate new and emerging areas of research concerned with the usage of decision-making methods in sustainability assessment in steel manufacturing companies. A systematic review was based on the publications indexed in the Web of Science and Scopus databases. In the analysis, the correspondence analysis and log-linear model were applied. To sum up, this study examines decision-making modalities and sustainable performance in terms of approaches that influence sustainability in steel manufacturing. Firstly, the study determined key decision-making aspects, such as the appropriate material identification for the manufacturing process and material labeling for the manufacturing process, which is essential for sustainable metal products. Secondly, the identification of sustainability indicators is considered vital in the hierarchical process as their integration is essential for the decision-making process and its outcome. Furthermore, system efficiency and productivity, alongside increasing attention to environmental protection, have led to significant changes in all production systems. In addition, many factors play an important role in the selection of suppliers, such as increasing the importance of the environment, increasing the recycling rate of the products, and ensuring sustainability performance. However, companies in the steel manufacturing industry rely little on the application of decision-making to assess sustainability.