Sodium-ion batteries (SIBs) and potassium-ion batteries (PIBs) have drawn widespread attention for application in large-scale accumulation energy because of their plentiful resources and lower cost. However, the lack of anodes with high energy density and long cycle lifetimes has hampered the progress of SIBs and PIBs. Bismuth (Bi), an alloying-type anode, on account of its high volumetric capacity and cost advantage, has become the most potential candidate for SIBs and PIBs. Nevertheless, Bi anodes undergo significant volume strain during the insertion and extraction of ions, resulting in the crushing of structures and a volatile solid electrolyte interface (SEI). As a result, the tactics to boost the electrochemical properties of Bi metal anodes in recent years are summarized in this study. Recent advances in designing nanostructure Bi-based materials are reviewed, and the reasonable effects of architectural design and compound strategy on the combination property are discussed. Some reasonable strategies and potential challenges for the design of Bi-based materials are also summarized. This review aims to provide practical guidance for the development of alloying-type anode materials for next-generation SIBs and KIBs.