Phosphate rock (PR) has been designated as a Critical Raw Material in the European Union (EU). This has led to increased emphasis on alternative P recovery (APR) from secondary streams like wastewater sludge (WWS). However, WWS end-use is a contentious topic, and EU member states prefer different end-use pathways (land application/incineration/valorisation in cement kilns). Previous Life Cycle Assessments (LCA) on APRs from WWS reached contrasting conclusions; while most considered WWS as waste and highlighted a net benefit relative to PR mining and beneficiation, others viewed WWS as a resource and highlighted a net burden of the treatment. We used a combined functional unit (that views WWS from a waste as well as a resource perspective) and applied it on a Flemish wastewater treatment plant (WWTP) with struvite recovery as APR technology. Firstly, a retrospective comparison was performed to measure the WWTP performance before and after struvite recovery and the analysis was complemented by uncertainty and global sensitivity analyses. The results showed struvite recovery provides marginal environmental benefits due to improved WWS dewatering and reduced polymer use. Secondly, a prospective LCA approach was performed to reflect policy changes regarding WWS end-use options in Flanders. Results indicated complete mono-incineration of WWS, ash processing to recover P and the subsequent land application appears to be less sustainable in terms of climate change, human toxicity, and terrestrial acidification relative to the status quo, i.e., co-incineration with municipal solid waste and valorisation at cement kilns. Impacts on fossil depletion, however, favour mono-incineration over the status quo.