Carbon monoxide can cause severe harm to humans even at low concentrations. Metal Oxide Semiconductor (MOS) carbon monoxide gas sensors have excellent sensing performance regarding sensitivity, selectivity, response speed, and stability, making them very desirable candidates for carbon monoxide monitoring. However, MOS gas sensors generally work at temperatures higher than room temperature, and need a heating source that causes high power consumption. High power consumption is a great problem for long-term portable monitoring devices for point-of-care or wireless sensor nodes for IoT application. Room-temperature MOS carbon monoxide gas sensors can function well without a heater, making them rather suitable for IoT or portable applications. This review first introduces the primary working mechanism of MOS carbon monoxide sensors and then gives a detailed introduction to and analysis of room-temperature MOS carbon monoxide sensing materials, such as ZnO, SnO2, and TiO2. Lastly, several mechanisms for room-temperature carbon monoxide sensors based on MOSs are discussed. The review will be interesting to engineers and researchers working on MOS gas sensors.