Bacillus thuringiensis (Bt) is renowned for its insecticidal activity against a wide range of target pests. Bt formulations offer safe alternatives to chemical insecticides, effectively eliminating insects using toxins and enzymes such as chitinases and metalloproteases. This bacterium has transformed pest management through the development of genetically modified insect-resistant crops, providing targeted protection. Beyond pest control, Bt serves as an alternative to antibiotics, fertilizers, bioremediation agents and for nanomaterial synthesis. While its effectiveness in insect control contributes to sustainable farming practices, Bt further promotes plant growth as a biofertilizer and growth enhancer. Additionally, it plays various roles in medicine and environmental applications. Bacteriocins, proteins produced by Bt, exhibit high efficacy against pathogenic bacteria and demonstrate some fungicidal activity, offering potential applications in medicine and food preservation. Bt’s influence extends to environmental bioremediation, where it targets heavy metals and dyes. It is also involved in the synthesis of metal nanoparticles and exhibits anti-cancer activity by targeting various cancerous cells. Overall, Bt showcases a broad spectrum of activity across agriculture, medicine and environmental sectors, highlighting its potential to enhance crop productivity, improve human health and reduce environmental pollution.