Water is a crucial and scarce resource in Kitui County posturing a sense of responsibility amongst the youth in the county to managing the available water resources towards sustainability. Notwithstanding, youths remain marginalized and excluded from participation in mine water sustainability decisions. The findings of this study indicated that youth participation and inclusivity in mine water sustainability was wanting in the county. This research recommends that youth should be on the forefront to spearhead mine water sustainability efforts and be given an opportunity to have their opinions and voices heard, and to take active part in mine water decision-making.