Chitosan, a polysaccharide derived from the deacetylation of chitin, is a versatile and eco-friendly biopolymer with several applications. Chitosan is recognized for its biodegradability, biocompatibility, and non-toxicity, beyond its antimicrobial, antioxidant, and antitumoral activities. Thanks to its properties, chitosan is used in many fields including medicine, pharmacy, cosmetics, textile, nutrition, and agriculture. This review focuses on chitosan’s role as a tool in insect pest control, particularly for agriculture, foodstuff, and public health pests. Different formulations, including plain chitosan, chitosan coating, chitosan with nematodes, chitosan’s modifications, and chitosan nanoparticles, are explored. Biological assays using these formulations highlighted the use of chitosan–essential oil nanoparticles as an effective tool for pest control, due to their enhanced mobility and essential oils’ prolonged release over time. Chitosan’s derivatives with alkyl, benzyl, and acyl groups showed good activity against insect pests due to improved solubility and enhanced activity compared to plain chitosan. Thus, the purpose of this review is to provide the reader with updated information concerning the use and potential applications of chitosan formulations as pest control tools.