This paper explores how decision-making under uncertainty can address opportunities, risks, and uncertainties for sustainable development; how decision theory, resilience thinking, and scenario planning approaches can assist the decision-making process. The paper will focus on decision-making for sustainable development under uncertainty associated with energy development in Western Kazakhstan. The main goal of this work is to demonstrate how different decision-making approaches under uncertainty can facilitate sustainable development of the oil industry in the region. Recommendations for sustainable development are examined for how the different approaches can be used to better inform the recommendations.