Integrated Pest Management (IPM) emerged as a pest control framework promoting sustainable intensification of agriculture, by adopting a combined strategy to reduce reliance on chemical pesticides while improving crop productivity and ecosystem health. This critical review synthesizes the most recent advances in IPM research and practice, mostly focusing on studies published within the past five years. The Review discusses the key components of IPM, including cultural practices, biological control, genetic pest control, and targeted pesticide application, with a particular emphasis on the significant advancements made in biological control and targeted pesticide delivery systems. Recent findings highlight the growing importance of genetic control and conservation biological control, which involves the management of agricultural landscapes to promote natural enemy populations. Furthermore, the recent discovery of novel biopesticides, including microbial agents and plant-derived compounds, has expanded the arsenal of tools available for eco-friendly pest management. Substantial progress has recently also been made in the development of targeted pesticide delivery systems, such as nanoemulsions and controlled-release formulations, which can minimize the environmental impact of pesticides while maintaining their efficacy. The Review also analyzes the environmental, economic, and social dimensions of IPM adoption, showcasing its potential to promote biodiversity conservation and ensure food safety. Case studies from various agroecological contexts demonstrate the successful implementation of IPM programs, highlighting the importance of participatory approaches and effective knowledge exchange among stakeholders. The Review also identifies the main challenges and opportunities for the widespread adoption of IPM, including the need for transdisciplinary research, capacity building, and policy support. In conclusion, this critical review discusses the essential role of IPM components in achieving the sustainable intensification of agriculture, as it seeks to optimize crop production while minimizing adverse environmental impacts and enhancing the resilience of agricultural systems to global challenges such as climate change and biodiversity loss.