As an anode material for sodium ion batteries (SIBs), carbon materials have attracted people’s interest because of their abundant resources, good structural stability and low cost. Among most carbon precursors, pitch is viewed as a promising one because of a higher carbon content, good oxidation reversibility and low cost. However, the pitch-based carbon obtained with direct pyrolysis of pitch displays a high degree of graphitization and small layer spacing, which is unfavorable for the storage of sodium ions. In recent years, with the aid of the development of the nanoengineering process, the storage of sodium ions with pitch-based carbon has been drastically improved. This review article summarizes the recent progress of pitch nanoengineering to obtain the carbon anode for high-performance SIBs, including porous structure adjustment, heteroatom doping, co-carbonization and pre-oxidation. In addition, the merits and demerits of a variety of nanoengineering processes are discussed, and future research directions of pitch-based carbon are prospected.