In this review, we review the recent research progress and results of piezoelectric energy harvesters applying mechanical tuning techniques in terms of literature background, methods of mechanical tuning, and practical applications. In the past few decades, piezoelectric energy harvesting techniques and mechanical tuning techniques have received increasing attention and made significant progress. Mechanical-tuning techniques are those that allow the resonant vibration energy harvesters the mechanical resonant frequency values to be adjusted to coincide with the excitation frequency. According to the different tuning methods, this review classifies mechanical-tuning techniques based on magnetic action, different piezoelectric materials, axial load, the variable center of gravity, various stresses, and self-tuning and summarizes the corresponding research results, comparing the differences between the same methods. In addition, the current application of the mechanical-tuning techniques is introduced, and the future development of mechanical tuning techniques is analyzed, facilitating the reader to better understand how mechanical-tuning techniques can improve the output performance of energy harvesters.