Single metal atom catalysts (SACs) have garnered considerable attention as promising agents for catalyzing important industrial reactions, particularly the electrochemical synthesis of hydrogen peroxide (H 2 O 2 ) through the two-electron oxygen reduction reaction (ORR). Within this field, the metal atom−support interaction (MASI) assumes a decisive role, profoundly influencing the catalytic activity and selectivity exhibited by SACs, and triggers a decade-long surge dedicated to unraveling the modulation of MASI as a means to enhance the catalytic performance of SACs. In this comprehensive review, we present a systematic summary and categorization of recent advancements pertaining to MASI modulation for achieving efficient electrochemical H 2 O 2 synthesis. We start by introducing the fundamental concept of the MASI, followed by a detailed and comprehensive analysis of the correlation between the MASI and catalytic performance. We describe how this knowledge can be harnessed to design SACs with optimized MASI to increase the efficiency of H 2 O 2 electrosynthesis. Finally, we distill the challenges that lay ahead in this field and provide a forward-looking perspective on the future research directions that can be pursued.