Direct methanol fuel cells have emerged as highly promising energy conversion devices in the past few decades. However, some challenges, such as carbon monoxide (CO) poisoning and unsatisfactory long-term stability, remain for platinum (Pt) as a methanol oxidation reaction (MOR) catalyst. This review covers recent advances in Pt alloy MOR catalysts and provides some insights. This review presents MOR catalytic mechanisms based on CO or non-CO pathways. Typical dimension-based designs of MOR catalysts, such as anisotropic nanowires, metallene, nanoframes, and corresponding rationales for performance enhancements, are introduced. More importantly, some key tuning strategies are elaborated, including intermetallic compound synthesis, interface engineering, and surface facet engineering. High-entropy alloys as an intriguing class of MOR catalysts with favorable prospects are also discussed. Finally, future directions and opportunities are outlined.