AbstractAcoustic metamaterials have been widely investigated over the past few decades and have realized acoustic parameters that are not achievable using conventional materials. After demonstrating that locally resonant acoustic metamaterials are capable of acting as subwavelength unit cells, researchers have evaluated the possibility of breaking the classical limitations of the material mass density and bulk modulus. Combined with theoretical analysis, additive manufacturing and engineering applications, acoustic metamaterials have demonstrated extraordinary capabilities, including negative refraction, cloaking, beam formation and super-resolution imaging. Owing to the complexity of impedance boundaries and mode transitions, there are still challenges in freely manipulating acoustic propagation in an underwater environment. This review summarizes the developments in underwater acoustic metamaterials over the past 20 years, which include underwater acoustic invisibility cloaking, underwater beam formation, underwater metasurfaces and phase engineering, underwater topological acoustics and underwater acoustic metamaterial absorbers. With the evolution of underwater metamaterials and the timeline of scientific advances, underwater acoustic metamaterials have demonstrated exciting applications in underwater resource development, target recognition, imaging, noise reduction, navigation and communication.