In 2007, a Nobel Prize is awarded to Dr. Albert Fert and Peter Grünberg for their contribution in giant magnetoresistance (GMR) effect. The magnetic head based on GMR effect has significantly increased the storage density in the hard disk drive (HDD) and brought the coming of the digital age. Besides, the rapid development of GMR sensor has opened a wide and promising range of applications, including the aspects in automobile, traffic monitor, biomedicine, and space, etc. As continuously extending the market, it needs GMR sensor with much lower cost, smaller size, higher sensitivity, and compatibility with the CMOS technology. In light of that, we give a review about the recent progress of the MR effect in Mn x Ge 1−x system, which refers to the material growth and magnetic and MR property. Through engineering the Mn x Ge 1−x structure, it could realize the transition from negative to positive MR, geometric-enhanced giant MR, and electricfield controlled MR. The fact of well-designed MR effect and high compatibility with Si technology brings a high potential and advantage for fabricating Mn x Ge 1−x-based MR sensors, which could be widely used in magnetic head and biomedical sensors, among others, with the superiority of much lower manufacturing cost, lower power dissipation, higher integration density, and higher sensitivity.