Drought stress is a group of abiotic stresses that affects plant growth and yield production. A field experiment over two successive seasons (2021–2022 and 2022–2023) in sand soil was conducted to investigate the integration effect of deficit irrigation, soil amendment “hundzsoil”, and the spraying of proline on the water use efficiency (WUE), yield, and fruit quality of 8-year-old Crimson seedless table grapes. Four application rates of soil amendment (0, 2, 4, and 6 kg hundzsoil /vine) were added during the dormancy period, and four irrigation levels at 125, 100, 75, and 60% of the field capacity were applied just before flowering until harvest. Proline at two levels (0 and 500 ppm) was applied as a foliar spray. Parameters such as bud fertility, weight of 100 berries, juice volume, and cluster number were positively affected by irrigation at 75% FC along with applying hundzsoil at 2 and 4 kg/vine under proline spray in both seasons. Irrigation at the 125% FC level with a 6 kg hundzsoil application under proline spray resulted in the highest yield, berries number, cluster length, cluster weight, and total anthocyanin in both seasons. The TSS/acidity ratio was significantly and positively affected by deficit irrigation (60% FC level) under hundzsoil at a rate of 4 kg alongside proline spray. Reducing irrigation to 60% FC without hundzsoil and proline spray negatively affected numerous growth parameters and the yield. However, irrigation at 60% FC alongside 6 kg of hundzsoil and proline showed the highest IWUE in both seasons. Proline spray was a key factor in conserving water used for irrigation. This study recommends using deficit irrigation alongside hundzsoil application under proline spray as an adequate strategy for water use efficiency and improving the yield and fruit quality of Crimson seedless grapevines cultivated in sand soil.