Food production and consumption is one of the major causes of global environmental degradation. One way to address environmental impacts in the food and beverage (F&B) sector is via the adoption of environmental management systems (EMS). To date, EMS research has focused predominantly on countries and sectors based in the Global North despite growing recognition of the global extent of environmental impacts from food production and consumption. In order to widen our knowledge of this topic in an under-researched emerging economy, this study examined factors determining EMS adoption within the Malaysian F&B industry. Drawn from a survey of 42 companies, this research investigated the drivers, barriers, and incentives to the adoption of the internationally recognized standard, ISO 14001. Discrepancies between the perceptions of small- and medium-sized enterprises and large companies’ as well as different product market groups were observed. It was found that large companies tend to have better understanding of the EMS concept and the enhancement of company image and improvement of environmental performance were the main drivers to implement EMS. High implementation costs and the lack of knowledge on the ISO 14001 standard were identified as the primary barriers to EMS adoption. Tax relief for certified companies and training and capacity building were considered as the most important incentives. Strategies were proposed to improve the environmental performance of Malaysian F&B companies which can strengthen the competitiveness of Malaysian F&B products in the global food market.