Despite its economic importance, quarrying activity for the production of natural aggregates (sand, gravel, and crushed stone) can result in overexploitation of the natural environment. This paper investigates the current state of natural and recycled aggregates in Sardinia Italy and how to limit the production of natural aggregates (NA) and increase the use of recycled aggregates (RA). The municipalities of Cagliari, Sant’Antioco and Tortolì of Sardinia, Italy, were chosen as case studies because they fall within a particular territorial context. Owing to its geographic condition, the island of Sardinia must produce its own raw materials. The results of this research show how the combined use of NA and RA can help meet local and regional demand for aggregates. This proposal is derived from a needs assessment of NA based on urban masterplans for each municipality. Possible strategies for limiting the consumption of NA, as well as the use of RA, are also described.