High altitude conditions pose a significant challenge to all earth’s inhabitants including flora. Low atmospheric pressure (thin air), intense ultraviolet (UV) light, and ultra-low temperatures combine to cause oxidative stress in plants. In these abiotic stress conditions, plants exhibit various ecophysiological, morphological, and biochemical adaptations to cope with stress. Morphologically, plants may develop smaller, thicker leaves with protective trichomes or waxy cuticles against intense UV radiation, and minimize water loss in the thin, dry air. However biochemically, plants increase the production of UV-absorbing compounds like flavonoids and phenolic acids along with antioxidant enzymes for neutralizing reactive oxygen species (ROS). To protect against these stress conditions plants start producing specialized metabolites, i.e., isoprenoids, phenolic acids, flavonoids, sterols, carotenoids, etc. The production of these specialized metabolites occurs through MEP (methylerythritol phosphate) and MVA (mevalonic acid) pathways. Although, this article aims to review the scientific complexities of high-altitude plants by providing an in-depth explanation of the MEP pathway, including its regulation, sources and causes of oxidative stress in plants, functions and roles of isoprenoids in stress tolerance, and the adaptation strategies that support alpine plant survival and acclimation. The MEP pathway’s products, several carotenoids, viz., phytoene, lycopene, β-carotene, etc., and terpenoids, viz., geraniol, citral, phytol, etc., act as potent scavengers of ROS, providing defense against oxidative damage. Also, phytohormones, viz., abscisic acid, salicylic acid, and jasmonic acid play crucial roles in modulating plant responses to oxidative stress. To date, little scientific literature is available specifically on high-altitude plants with respect to MEP pathway and oxidative stress management. Understanding the interaction between the MEP pathway and oxidative stress in high-altitude plants can provide insight into the implications for improving crop resilience and producing bioactive chemicals with potential human health benefits.