The concept of sustainability continues to rapidly grow in interest from disparate academic and industrial fields. This research aims to elucidate further the implications of the sustainability drivers upon project management methodological approaches specifically in the manufacturing industry. This paper studies the three prevalent dialogues in the field of sustainability, relevant to the environmental and social aspects of the Triple Bottom Line, and utilises Institutional Theory to propose organisational pressures as affecting sustainability efforts in industrial manufacturing project management. Furthermore, the literature bodies of Lean and Life Cycle Analysis in manufacturing project management guided our reflection that the various drivers of sustainability put forward that do not consider the distinctive organisational pressures fail to address institutional and systemic project management issues holistically. The authors further conduct and draw on a systematic literature review on the constructs of sustainability in the manufacturing industry and their adopted methodologies, evaluating academic articles published from the year 2001 to 2017. The findings indicate that normative pressures prevail over coercive and mimetic pressures and are seen as the main drivers of sustainability in the manufacturing industry. In an incremental reductionist approach, project management knowledge areas are analysed, and the study posits that Stakeholder and Communications Management are two of the knowledge areas that need to integrate the above pressures to achieve cohesive sustainable industrial results. The principle contribution is to offer a new conceptual perspective on integrating project management knowledge areas with Institutional Theory pressures for more sustainable project management methodologies.