Bilberry (Vaccinium myrtillus L.) is a fruit with high polyphenolic content and rich in anthocyanins. Due to its strong antioxidant capacity, it has potential effects in improving human health and reducing the risk of diseases. In addition to its antioxidant effect, it also possesses potential anti-inflammatory, anti-carcinogenic, anti-angiogenic, anti-proliferative, anti-atherogenic, anti-microbial, anti-diabetic, anti-lipidemic, neuroprotective, anti-metastatic, anti-radical effects, as well as preventing lipid oxidation, reducing oxidative stress and improving eye health. Bilberry consumption can potentially protect against and reduce the risks of chronic inflammation, dyslipidemia, hyperglycemia, increased oxidative stress, cardiovascular diseases, diabetes, dementia, and other age-related diseases and cancer. This review focuses on the potential mechanisms of action of bilberry in cancer.