Non-alcoholic alternatives are gaining growing significance within the German beverage sector. In this context, the German wine industry is increasingly focusing on non-alcoholic wines, whose market has developed dynamically in recent years. While the technologies used, the sensory characteristics and the marketing of the products are frequently addressed in the literature, the consideration of sustainability impacts has so far been largely neglected. This applies in particular to the view of all three dimensions of sustainability. These are examined more closely in this review with regard to tradeoffs, which indicate that positive aspects in one dimension go hand in hand with a loss in the other. It can be shown that tradeoffs in the production and marketing of non-alcoholic wines arise both within and between the three sustainability dimensions. Exemplary of this is the increased use of resources in the course of alcohol removal. At the same time, an emerging market segment holds positive aspects from an economic perspective. Ultimately, the consideration of social sustainability is marked by the health science and political debate around the reduction in alcohol consumption and the simultaneous increase in the consumption of non-alcoholic alternatives.