Energy, as an indispensable part of human life, has been a hot topic of research among scholars. The water kinetic energy generated by ocean currents, as a kind of clean energy, has high utilization rate, high power generation potential, and a broad prospect of powering microelectronic devices. As a result, the water kinetic piezoelectric energy harvester (WKPEH) has made significant progress in powering ocean sensors by harvesting ocean currents. This paper provides a comprehensive review of technologies that have been used in recent years to harvest energy from marine fluids using WKPEH. Detailed study of the energy harvesting mechanism of WKPEH. WKPEH can use the flutter-induced vibrations, vortex-induced vibrations, and wake oscillation principles to harvest water kinetic energy. The structural characteristics and output performance of each mechanism are also discussed and compared, and finally, a prospect on WKPEH is given.