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One of the most significant effects of an earthquake is the production of a huge amount of waste. An incorrect management of the rubbles causes relevant environmental damages, economic losses and a psychological impact for the population. In this context, the present manuscript assesses different strategies of waste management, estimating the carbon footprint and the economic impact, in order to define the best choices. Overall, different management options can be applied, that have different costs and impacts on the environment: a temporary storage site could be used, rubbles can be treated through different technologies (either simple crushing or advanced refining), and the treatment can be carried out at different distances from the site of the event. The environmental impact assessment evidenced the importance of an in-situ pre-treatment of the rubbles and of an enhanced refining, addressed at the achievement of high quality inert. On the other hand, the economic analysis suggests that the best option is to transport everything to the treatment site, and to carry out a simple treatment of the rubbles. Consequently, our assessment resulted in conflicting conclusions, where an enhanced treatment of the rubbles is positive, from an environmental point of view, but negative, for the increase in the management costs. The economic criteria are currently pushing any decision taken by the emergency managers; however, the environmental load may have a long-term effect with even more significant economic consequences, and it cannot be neglected.