The big bud mite Phytoptus avellanae is a resurgent pest of hazelnut, Corylus avellana, causing substantial yields reductions in many productive areas. Mites colonise and develop within healthy buds which become swollen, with subsequent alteration to the plant’s development. To date, there has been limited knowledge on how the cultivar and pest management strategies affect infestations. This study explored these aspects through two ad hoc experiments carried out in central Italy. In the first experiment, the susceptibility of 11 cultivars with different geographic origins was tested in a germplasm hazelnut collection. The second experiment assessed the infestation level in orchards with integrated pest management (IPM) and organic pest management strategies and in a renaturalised environment (a former agricultural area now converted in a natural park). The results showed that the most and the least susceptible cultivars were Tonda Gentile and Nocchione, respectively. No significant differences were found between IPM and organic management, but they were both different to the renaturalised environment. The outcomes of this research can serve as a valuable reference and can be applied to all current or potential hazelnut cultivation areas characterised by the same environmental conditions.