Greek islands are widely distinguished by the central role of landscape as a primary tourism resource. This paper examines local stakeholders’ perceptions of the stone-built paths of the island of Chios in Greece as a cultural landscape, their potential contribution to sustainable tourism development, their relationship with quality of life, and the role of local governance in their management. Data was collected through a structured stakeholder survey and analyzed using correlation analysis. The findings show strong recognition of the stone-built paths as a valued cultural landscape and reveal a positive association between landscape perception and quality of life. Sustainable tourism development is significantly linked to governance and stakeholder participation but shows no direct relationship with quality of life. The results suggest that cultural landscapes enhance well-being mainly through social and identity values, while sustainable tourism outcomes depend on effective governance and participatory management.