Microbial electrochemical systems that integrate the advantages of inorganic electrocatalysis and microbial catalysis are expected to provide sustainable solutions to the increasing energy shortages, resource depletion, and climate degradation. However, sluggish extracellular electron transfer (EET) at the interface between electroactive microorganisms and inorganic electrode materials is a critical bottleneck that limits the performance of systems. Electrocatalytic nanomaterials are highly competitive in overcoming this obstacle due to their effective association with microbial catalysis. Therefore, this review focuses on the cutting-edge applications and enhancement mechanisms of nanomaterials with electrocatalytic activity in promoting microbial EET. First, the EET mechanism of microbial electrocatalysis in both microbial anodes and cathodes is briefly introduced, and then recent applications of various electrocatalytic nanomaterials in diverse microbial electrochemical systems are summarized, including heteroatom-doped carbons and precious metal, as well as transition metal oxides, sulfides, carbides, and nitrides. The synergistic effects of nanomaterial electrocatalysis and microbial catalysis on enhancing interfacial EET are analyzed. Finally, the challenges and perspectives of realizing high-performance microbial electrochemical systems are also discussed in order to offer some reference for further research.