This article presents a metamaterial-based microwave sensitive sensor with a complementary split-ring resonator (CSRR) structure for nondestructive surface fault detection in pipelines. The CSRR resonator is etched in the ground plane of a microstrip line and is produced using printed circuit board technology. The novelty of the proposed sensor is its structure that allows it to be directly used for nondestructive fault detection in pipelines, based on frequency and Q factor variations, even for faults under a coating. A measurement setup was used to test the proposed sensor in pipelines of different materials: steel, PVC, and aluminum. The sensor could detect faults of 1 mm. For a hole of 1 mm, the frequency shift was 6.10 MHz in steel, 2.62 MHz in polyvinyl chloride (PVC), and 1.70 MHz in aluminum. In some conditions, the Q-factor shift measurements were 6.72, 5.18, and 7.15 for steel, PVC, and aluminum, respectively. The proposed sensor features high sensitivity, small size, simple design, and easy fabrication.