The rechargeable alkali metal-ion batteries (RAMIBs) are highly promising candidates for next-generation efficient energy storage devices, owing to their outstanding theoretical specific capacities and extremely low electrochemical potentials. However, RAMIBs possess unsuitable lifespans, low mechanical durability and inevitable side reactions attributable to their inherent severe volumetric/structure alteration during the charge-discharge cycles. These hitches could be solved using porous multimetallic alloy-based anodes, due to their impressive specific capacities, low working potential, low cost, and earth-abundance, which can meet sustainability and practical application needs. Meanwhile, great surface area, electrical conductivity, structural stability, and ability to accommodate the generated alkali metal ions can yield satisfactory coulomb efficiency and long durability. Immense efforts are dedicated to rationally designing porous multimetallic alloy-based anodes for RAMIBs, so it is essential to provide timely updates on this research area. Herein, we reviewed recent advances in porous multimetallic alloy-based anodes (i.e., Sn, Mn, Mo, Co, V, and Fe) for RAMIBs (i.e., lithium-ion batteries, sodium-ion batteries, and potassium-ion batteries. This is rooted in the engineering approaches (i.e., template-based, hydrothermal/solvothermal, chemical reduction, electrochemical deposition, sol-gel, and electrospinning) to fundamental insights (i.e., mechanisms, key parameters, and calculations) and precise evaluation for structural changes, and mechanisms by various experimental, theoretical, and in-situ analysis to optimizing their performance. Also, advances in RAMIBs recycling and circular economy were discussed. Eventually, we highlighted the current drawbacks and provided proposed perspectives to solve these issues and enable practical utilization of such anodes for large-scale applications.