Metabolic reprogramming is a hallmark of cancer, enabling tumor cells to sustain uncontrolled proliferation, evade immune surveillance, and survive in nutrient- and oxygen-deprived microenvironments. Unlike normal cells, which primarily use mitochondrial oxidative phosphorylation (OXPHOS) to generate energy in the presence of oxygen, cancer cells exhibit distinct metabolic changes, including increased glycolysis (Warburg effect), enhanced glutamine utilization, modified lipid processing, and mitochondrial adaptations. These metabolic shifts support the production of essential biomolecules, maintain cellular redox balance, and sustain rapid cell division while also contributing to immune resistance and treatment failure. Several regulatory factors, such as hypoxia-inducible factors (HIFs), Myc, p53, AMP-activated protein kinase (AMPK), and the PI3K/AKT/mTOR pathway, influence these metabolic processes by controlling nutrient uptake and utilization. Additionally, changes in epigenetic regulation impact the expression of enzymes and transporters involved in metabolism. Efforts to target these metabolic adaptations have led to the development of inhibitors that interfere with key pathways, including glycolysis (2-deoxy-D-glucose, PFKFB3 inhibitors), mitochondrial function (OXPHOS and electron transport chain inhibitors), and glutamine metabolism (glutaminase inhibitors such as CB-839). Furthermore, recent studies suggest that combining metabolic inhibitors with immunotherapies, such as immune checkpoint inhibitors and adoptive cell therapies, may improve treatment effectiveness. This review examines the key regulators of cancer metabolism, evaluates potential therapeutic strategies, and discusses current challenges and future directions in the field. A deeper understanding of cancer metabolism may help identify new treatment approaches that selectively disrupt tumor growth while preserving normal cellular function.