5-Aminolevulinic acid (5-ALA) is a basic precursor in the bioproduction of tetrapyrrole compounds, such as heme, chlorophyll, and vitamin B12. Its extensive applications in agriculture, medicine, cosmetics and animal feed industry have garnered substantial attention. In agriculture, 5-ALA works as an effective plant growth regulator, improving crop yield, stress tolerance, and product quality. Nonetheless, old chemical production of 5-ALA faces challenges because of complex reaction pathways, low productivity, and environmental concerns. This has directed towards a rising interest in sustainable microbial production approaches. Latest developments in metabolic engineering and synthetic biology have assisted the development of effective bacterial cell factories for 5-ALA bioproduction. Key approaches comprise optimizing precursor supply and cofactor regeneration, reworking inborn C4 and C5 biosynthetic pathways, classifying and alleviating rate-limiting enzymes, engineering transport systems for 5-ALA secretion, decreasing competing pathways, and reducing by-product formation. Furthermore, the addition of biosensor-based vigorous regulation and systems-level metabolic control has considerably boosted production robustness and yield. These technical novelties have accelerated the evolution of microbial 5-ALA production from the laboratory to industrial uses. This review offers a comprehensive overview of recent advancements in bacterial 5-ALA bioproduction, focusing on host selection, pathway engineering strategies, regulatory mechanisms, and evolving biotechnological applications. Lastly, it discusses present challenges and future perspectives to guide the development of next-generation microbial platforms for competent and sustainable 5-ALA synthesis.